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 ride the bicycle against the flow of traffic.”
"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.”
The Correct Answer is A
Choice A rationale:
Instructing the child to walk the bicycle through intersections promotes safety by reducing the risk of accidents. Walking the bicycle ensures better visibility to drivers and allows the child to react quickly to any unexpected situations. This instruction aligns with safe biking practices and helps prevent collisions at intersections.
Choice B rationale:
Riding the bicycle against the flow of traffic is unsafe and increases the risk of accidents. Bicyclists should always ride in the same direction as traffic, following the rules of the road. Riding against traffic confuses drivers and reduces the child's visibility, making it more likely to be involved in an accident.
Choice C rationale:
Keeping the bicycle at least 3 feet from the curb while riding in the street is a good safety practice. This distance provides a buffer zone between the child and passing vehicles, reducing the risk of sideswipe accidents. Maintaining a safe distance from the curb allows the child room to maneuver and avoids hazards like potholes or debris at the edge of the road.
Choice D rationale:
Having the child's feet 3 to 6 inches off the ground when seated on the bicycle is an appropriate guideline. The child should be able to touch the ground with their feet while sitting on the bicycle seat. This ensures stability and allows the child to stop the bicycle easily when needed, enhancing overall control and safety while riding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Avoiding vigorous activity immediately after feeding is not directly related to managing gastroesophageal reflux. The rationale behind this is that keeping the infant upright after feeding helps prevent stomach contents from flowing back into the esophagus. Gravity can help reduce reflux symptoms. Vigorous activities do not impact reflux directly.
Choice B rationale:
Holding the infant in an upright position for 30 minutes after feeding is the correct choice. This position utilizes gravity to keep stomach contents down and prevents reflux. It allows time for the food to move from the stomach to the small intestine, reducing the likelihood of reflux. This intervention is widely recommended for infants with gastroesophageal reflux.
Choice C rationale:
Enlarging the bottle's nipple opening when using thickened feedings is not a recommended practice. Thickened feedings can help reduce reflux, but changing the nipple opening size is not necessary for managing reflux symptoms. The thickness of the feeding itself can help prevent regurgitation.
Choice D rationale:
Propping the bottle during feedings is not recommended. It can lead to aspiration, where the milk can enter the infant's airways, causing respiratory issues. It's essential for the infant to be held in an upright position during feedings to prevent reflux symptoms effectively.
Choice E rationale:
Feeding the infant in a side-lying position is not recommended for infants with gastroesophageal reflux. This position can increase the risk of regurgitation and aspiration. Keeping the infant upright, as mentioned in choice B, is the preferred position to minimize reflux symptoms.
Correct Answer is A
Explanation
Choice A rationale:
Check the toddler's ID band against the medical record. Verifying the toddler's identity through their ID band is a standard and reliable practice in healthcare settings. It ensures that the right medication is administered to the right patient, promoting patient safety and preventing medication errors. Checking the ID band against the medical record is a fundamental step in the medication administration process.
Choice B rationale:
Ask another nurse to confirm the toddler's identity. While collaboration and double-checking are important in healthcare settings, the primary responsibility lies with the nurse administering the medication. Relying solely on another nurse to confirm the toddler's identity could lead to errors. Nurses should follow established protocols, including checking the ID band, to maintain patient safety.
Choice C rationale:
Check the toddler's room number against their ID band. Verifying the room number is not a reliable method of confirming a patient's identity. Room assignments can change, and patients can be moved to different locations within the healthcare facility. Relying on room numbers can lead to confusion and errors in identifying patients.
Choice D rationale:
Ask the parent to confirm the toddler's identity. While involving parents in the care process is important, the primary responsibility for confirming a patient's identity lies with the healthcare provider. Parents can assist by providing information, but the final verification should be done through established healthcare protocols, such as checking the ID band against the medical record.
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