The nurse is discussing safety with the father of a four-year old child. Critical teaching points should include the following except:

"You should always hold your child's hand when crossing the street."

"Swim lessons would be important now to ensure your child is safe around a pool."

"Medications with child proof tops are safe to keep on the counter so you remember to take them."

"All small objects should be kept out of your child's view since he may aspirate them."

Answer and Explanation

The Correct Answer is C

A. "You should always hold your child's hand when crossing the street."

This is a critical teaching point. Holding a child's hand while crossing the street is an important safety measure to prevent accidents and ensure the child's safety.

B. "Swim lessons would be important now to ensure your child is safe around a pool."

This is also a critical teaching point. Swim lessons can be essential for water safety, especially if there is a pool in the vicinity.

C. "Medications with childproof tops are safe to keep on the counter so you remember to take them."

This statement is incorrect. Medications, even with childproof tops, should be stored out of reach of children to prevent accidental ingestion. It's important to emphasize proper medication storage.

D. "All small objects should be kept out of your child's view since he may aspirate them."

This is a valid teaching point. Small objects can pose a choking hazard, and keeping them out of a child's reach is crucial for safety.

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Correct Answer is C

Explanation

A. Ask the patient to wait a little longer for the medicine to work.
This option may not be appropriate, especially if the child is experiencing significant pain. It's essential to address the child's pain promptly rather than asking them to wait, as adequate pain management is crucial for the child's well-being.
B. Review whether the morphine dose is therapeutic for his weight.
While reviewing the dose for the child's weight is important, it may not be the immediate next step in this situation. If the child is experiencing pain that persists after one hour, the priority is to address the immediate pain concern. The nurse can later review the medication orders and dosages in collaboration with the healthcare provider.
C. Call the physician immediately.
This is the most appropriate next step in this scenario. If the child is experiencing pain despite having received morphine one hour ago, contacting the physician is important to discuss the current situation, assess the need for additional pain management, and potentially make adjustments to the treatment plan.
D. Encourage the child to use television as a form of distraction.
Distraction can be a helpful complementary measure for managing pain, but it may not be sufficient in this case if the pain persists. The primary focus should be on addressing the pain through appropriate medical interventions, and calling the physician is a more urgent step.

A. An abnormal finding-indicates the need for developmental assessment. B. A normal finding. C. An abnormal finding-indicates the need for immediate referral to a practitioner D. A questionable finding-the infant should be rechecked in 1 month.

Correct Answer is B

Explanation

A. An abnormal finding-indicates the need for developmental assessment.

This is not accurate. The closure of the anterior fontanel within the expected age range does not indicate an abnormal finding or the need for additional developmental assessment.

B. A normal finding.

This is the correct interpretation. The anterior fontanel normally closes between 12 to 18 months, and closure by 19 months is within the expected developmental range.

C. An abnormal finding-indicates the need for immediate referral to a practitioner.

This is not necessary based on the information provided. The closure of the anterior fontanel within the expected timeframe is a normal finding.

D. A questionable finding-the infant should be rechecked in 1 month.

There's no need for rechecking in 1 month. The closure of the anterior fontanel at 19 months is considered normal.

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The nurse is discussing safety with the father of a four-year old child. Critical teaching points should include the following except:

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Naxlex Comprehensive Predictor Exams

A six-year-old complains of pain at the surgical site, one hour after the nurse gave IV morphine, which is ordered every four hours prn pain. What is the nurse's best next step?

Correct Answer is C

Explanation

The nurse is doing a routine assessment on a 19-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as:

Correct Answer is B

Explanation

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