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 ["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.

A. Increased collagen. B. Decreased serum calcium. C. Increased muscle mass. D. Decreased circulation.

Correct Answer is D

Explanation

Choice A rationale

Increased collagen is not a factor that would lead to a pressure injury in a client with impaired mobility. Collagen is a protein that helps in the formation of skin and other connective tissues.

Choice B rationale

Decreased serum calcium is not directly related to the development of pressure injuries. While calcium is important for bone health and muscle function, it does not play a direct role in skin integrity.

Choice C rationale

Increased muscle mass is not a risk factor for pressure injuries. In fact, good muscle mass can help distribute pressure more evenly and potentially reduce the risk of pressure injuries.

Choice D rationale

Decreased circulation is a major risk factor for the development of pressure injuries. When blood flow to an area of the body is reduced, the tissues in that area can become deprived of oxygen and nutrients, leading to cell death and the formation of pressure injuries.

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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)

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Naxlex Comprehensive Predictor Exams

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

A nurse is assessing a client who has impaired mobility.The nurse should monitor the client for a pressure injury due to which of the following factors?

Correct Answer is D

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)