A nurse is teaching a parent of a-month-old infant about home safety.

Which of the following instructions should the nurse include in the teaching?( select all that apply)

place gate at the top and bottom of the stairs.

Ensure the crib mattress is in the lowest position.

Remove labels from containers that contain toxic substance.

Keep toilet lids in the upright position.

select a toy chest that has a heavy, hinged lid.

Answer and Explanation

Correct Answer : A,B,D

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Correct Answer is AANDD

Explanation

Choice A rationale

An ileostomy involves creating a stoma, or opening, in the abdominal wall. The location of the stoma is typically in the right lower abdomen.

Choice B rationale

The end of the stoma should not be painful after the procedure. If the patient experiences pain, it could indicate a complication and should be reported to the healthcare provider.

Choice C rationale

The patient should not expect the stoma to be a purple color. A healthy stoma should be red or pink. A purple stoma could indicate a lack of blood flow, which is a serious issue that needs immediate medical attention.

Choice D rationale

After an ileostomy, the patient will have liquid or semi-liquid stool pass through the stoma. This is because the large intestine, which normally absorbs water and forms solid stool, is bypassed or removed in the procedure.

Correct Answer is ["31"]

Explanation

Step 1: Calculate the total volume to be infused. Total volume = 250 mL.

Step 2: Calculate the total time for the infusion in minutes. Total time = 2 hours × 60 minutes/hour = 120 minutes.

Step 3: Calculate the flow rate in mL/min. Flow rate = Total volume ÷ Total time = 250 mL ÷ 120 min = 2.08 mL/min.

Step 4: Calculate the flow rate in drops/min. Flow rate = 2.08 mL/min × 15 drops/mL = 31.25 drops/min. So, the nurse should adjust the flow rate to deliver approximately 31 drops per minute.

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A nurse is teaching a parent of a-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching?( select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?

Correct Answer is AANDD

Explanation

A nurse is preparing to infuse a 250-mL unit of packed red blood cells (RBCs) over 2 hours. The drop factor of the manual intravenous (IV) tubing is 15 drops/mL. How many drops per minute should the nurse adjust the flow rate to deliver?

Correct Answer is ["31"]

Explanation

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A nurse is teaching a parent of a-month-old infant about home safety.

Which of the following instructions should the nurse include in the teaching?( select all that apply)