A nurse is teaching about safety recommendations for car seats with the parents of a 24-month- old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching?
Position a booster seat forward-facing in the middle of the back seat.
Position the toddler rear-facing in the middle of the back seat.
Position a convertible seat forward-facing in the front passenger side and inactivate the airbag.
Position a convertible seat rear-facing in the front passenger side.
The Correct Answer is B
A. Booster seats are used for older children who have outgrown their forward-facing car seats. A 24- month-old toddler is typically too young and small for a booster seat.
B. Rear-facing car seats provide the best protection for young children, including toddlers, in the event of a crash.
B. The American Academy of Pediatrics (AAP) recommends keeping children in a rear-facing car seat until they reach the maximum height or weight limit. Rear-facing seats distribute crash forces more evenly across the back of the car seat and the child's body, reducing the risk of injury to the head, neck, and spine.
C. Placing a car seat forward-facing in the front passenger side and inactivating the airbag is not recommended for any child under the age of 13 due to the risk of injury from the airbag in the event of a crash.
D. Placing a car seat rear-facing in the front passenger side is not recommended, especially for a toddler.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Wilms' tumor, also known as nephroblastoma, is a type of kidney cancer that primarily affects children, typically between the ages of 3 and 4 years old, but it can also occur in younger children. One of the common manifestations of Wilms' tumor is the presence of a palpable abdominal mass, which may be noticed by a caregiver or healthcare provider during a physical examination. Additionally, hematuria (blood in the urine) is another common symptom associated with Wilms' tumor, leading to the observation of pink-tinged urine on the diaper.
Correct Answer is B
Explanation
To calculate the appropriate dosage of amoxicillin for the toddler; Given:
Weight of the toddler = 20 kg
Recommended dosage range = 20 to 25 mg/kg/day Calculate the total daily dose:
Minimum recommended dosage = 20 mg/kg/day Maximum recommended dosage = 25 mg/kg/day
Minimum total daily dose = 20 mg/kg/day × 20 kg = 400 mg/day Maximum total daily dose = 25 mg/kg/day × 20 kg = 500 mg/day
The prescribed dosage is 100 mg every 8 hours, which means 300 mg per day (100 mg × 3 times a day). As 300 mg is below the minimum recommended total daily dose (400 mg) for a toddler weighing 20 kg, the nurse should determine that the prescribed dosage is insufficient to achieve the desired effect.
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