A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

"Your child should walk the bicycle through intersections."

"Your child should keep the bicycle at least 3 feet from the curb while riding in the street."

"Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle."

"Your child should ride the bicycle against the flow of traffic."

Answer and Explanation

The Correct Answer is A

A.   Walking the bicycle through intersections helps the child avoid potential accidents. At intersections, visibility and the potential for sudden, unexpected vehicle movements make walking the bike a safer option than riding through. This practice reduces the risk of collisions and allows the child to be more cautious when crossing streets.
B.   The recommended safety distance for cyclists from the curb is usually at least 3 feet, but this can vary by location and specific traffic laws. Keeping a safe distance from the curb is important to avoid hazards like debris and to ensure a buffer from parked cars or other obstacles.
C.   When seated on the bicycle, the child’s feet should be able to touch the ground to maintain balance and safety when stopped. The 3 to 6 inches off the ground guideline ensures the bike is appropriately sized for the child, allowing them to maintain control and stability while riding. If the child cannot touch the ground with their feet, they may struggle with stopping and balancing the bicycle.

D.   Bicyclists should always ride with the flow of traffic. Riding against traffic increases the risk of collisions because drivers are not expecting cyclists coming from the opposite direction. Riding with traffic allows drivers to anticipate the cyclist’s movements and helps ensure better visibility and safety.

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Correct Answer is C

Explanation

A. Increasing oral fluid intake would not necessarily improve dialysate outflow. This could worsen the issue if the problem is related to fluid overload.
B. Increasing dwell time might allow more time for fluid and waste removal, but it's not the most appropriate action in this case. The primary concern is the lack of outflow, which suggests a potential obstruction or other issue.
C. Changing the child's position can help to reposition the catheter and improve drainage. This is a reasonable action to try.
D. A bruit indicates increased blood flow to the area. While it's important to assess for this, it's not the most immediate action to take.

A. Odorless urine B. Temperature 37.2° C (99° F) C. Clear urine D. No report of pain with voiding

Correct Answer is C

Explanation

A. Odorless urine is generally a normal finding, it is not a specific indicator of the effectiveness of treatment for acute poststreptococcal glomerulonephritis. The presence or absence of odor in urine does not directly reflect the resolution of glomerulonephritis or the effectiveness of treatment.
B. A temperature of 37.2° C (99° F) is slightly elevated but not considered feverish. In the context of APSGN, monitoring for fever is important because persistent or high fever could indicate ongoing infection or inflammation. While normalization of temperature can be a positive sign, it alone is not a definitive indicator of treatment effectiveness for APSGN.
C. Clear urine is a positive sign that suggests the resolution of hematuria (blood in urine) and possibly a reduction in the amount of protein in the urine. In APSGN, the presence of blood and proteinuria (protein in urine) are common symptoms, so a transition to clear urine can indicate that the kidneys are returning to a more normal state, making this a good indicator of treatment effectiveness.
D. Pain with voiding is not typically a symptom of APSGN; it is more commonly associated with urinary tract infections or other urinary issues. Therefore, the absence of pain with voiding does not specifically indicate the effectiveness of treatment for APSGN.

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A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

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