During a clinic visit, the practical nurse (PN) observes an infant sucking on a pacifier that is made from a bottle nipple and stuffed with cotton. What should the PM do?
Encourage the mother to use a one-piece pacifier.
Observe infant for difficulty in sucking.
Tell the mother that pacifiers can cause dental problems.
Compliment the mother for meeting her infant's needs.
The Correct Answer is A
A. Encouraging the mother to use a one-piece pacifier is the appropriate action as it reduces the risk of choking or ingestion of small parts and is safer for the infant.
B. Observing the infant for difficulty in sucking is important, but addressing the safety of the pacifier takes precedence.
C. Informing the mother about potential dental problems associated with pacifier use might be relevant but doesn't address the immediate safety concern of the makeshift pacifier.
D. Complimenting the mother for meeting her infant's needs doesn't address the potential safety risks associated with the homemade pacifier.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encourage the client to resume normal activities after medication administration. - This action could exacerbate the injury and pain and isn't appropriate after pain medication for a fracture.
B. Implement ongoing assessments for signs of shallow or slow breathing. - Hydrocodone, an opioid, can cause respiratory depression. Regular monitoring for respiratory changes is crucial.
C. Observe the client for involuntary movements of the lips and tongue. - This might indicate adverse reactions but is not the most critical concern after administering hydrocodone/acetaminophen.
D. Assess the skin daily for areas of ecchymosis or other signs of bleeding. - While monitoring for bleeding is important, it's not the immediate concern following administration of hydrocodone/acetaminophen.
Correct Answer is A
Explanation
A. Call the healthcare provider and clarify the prescription. - If the PN suspects an error in a prescription, especially regarding a child's dosage, it's imperative to communicate concerns to the healthcare provider for clarification and potential adjustment.
B. Request verification of the prescription by the charge nurse. - While involving another nurse might provide a second opinion, it's crucial to involve the prescriber to rectify any potential prescription errors.
C. Tell the pharmacy to send an accurate child's dosage. - The prescription should be confirmed with the healthcare provider before any medication is dispensed or administered.
D. Ask another nurse if adult dosages are ever given to children. - While seeking information from peers is valuable, this situation calls for direct clarification from the prescriber to ensure proper dosing for the child.
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