A nurse is teaching parents of a 10-month-old infant about home safety.
Which of the following information should the nurse include in the teaching? Select all that apply.
Keep plastic bags and plastic grocery bags in a secure place.
Serve food in small pieces no larger than a cheerio.
Lower the crib rails to the lowest level.
Set the water heater to 65°C.
Use plastic covers on all electrical outlets.
Correct Answer : A,B,E
The nurse should include the following information in the teaching about home safety for a 10- month-old infant:
- Keep plastic bags and plastic grocery bags in a secure place. Plastic bags pose a choking hazard for young children who can easily put them over their heads and suffocate.
- Serve food in small pieces no larger than a cheerio. This reduces the risk of choking, as infants have limited chewing ability and can easily swallow large pieces of food whole.
E. Use plastic covers on all electrical outlets. This prevents the infant from sticking fingers or objects into the outlet, which could lead to electrical shock.
However, the following information is incorrect and should not be included:
C. Lower the crib rails to the lowest level. While lowering the crib rails might seem convenient, it actually increases the risk of the infant climbing out and potentially falling and injuring themselves. Crib rails should be kept at the highest level possible once the infant can sit up on their own.
D. Set the water heater to 65°C (149°F). This temperature is scalding hot and can cause severe burns in infants. The recommended safe water heater temperature is 120°F (48.9°C) or lower to prevent accidental scalding.
Therefore, the correct selections are A, B, and E. The nurse should emphasize the importance of creating a safe environment for the infant by keeping choking hazards out of reach, serving food in appropriate sizes, and preventing access to electrical outlets. Additionally, the nurse should educate parents about the safe water heater temperature to avoid scalding risks.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While providing oxygen can be important in the care of a newborn with esophageal atresia, it is not the first priority. These babies often have difficulty breathing, but this is usually due to the abnormal connection between the esophagus and the trachea (tracheoesophageal fistula), which allows stomach acid to enter the lungs. Oxygen therapy alone does not address this underlying problem.
Choice B rationale
Placing the infant in an isolette or radiant warmer is not the first priority. While maintaining the baby’s body temperature is important, it does not address the immediate risks associated with esophageal atresia.
Choice C rationale
Obtaining a stat chest X-ray can be part of the diagnostic process for esophageal atresia, but it is not the first priority. The diagnosis is usually suspected based on symptoms such as frothy bubbles in the mouth and nose, coughing or choking when feeding, and difficulty breathing.
Choice D rationale
Elevating the head of the bed 30 to 35 degrees is the first priority. This position helps to prevent aspiration of gastric contents into the lungs, which can occur due to the abnormal connection between the esophagus and the trachea (tracheoesophageal fistula) that is often present in babies with esophageal atresia.
Correct Answer is C
Explanation
Choice A rationale
Positioning the infant on its abdomen after a cleft lip repair is not recommended. This position can put pressure on the surgical site and may lead to complications such as bleeding or infection.
Choice B rationale
Offering a pacifier to an infant who has just undergone a cleft lip repair is not advisable. The sucking motion can cause strain on the surgical site and may lead to complications such as dehiscence (separation of the wound edges) or infection.
Choice C rationale
Encouraging the parents to hold and comfort the infant is the best course of action. Holding provides comfort and security to the infant, which can help in reducing fussiness. Moreover, parental involvement in the care of the infant promotes bonding and has positive effects on the infant’s emotional and psychological well-being.
Choice D rationale
Administering Ibuprofen as needed for pain is not the best option. While Ibuprofen is a good analgesic, it is not the first choice for pain management in infants due to the risk of side effects. Moreover, pain management should be individualized, considering the infant’s age, weight, overall health status, and the nature and extent of the surgery.
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