The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child’s safety needs?
Supervising the child in outdoor, fenced play areas.
Allowing the child to cross the street with a 6-year-old sibling.
Using an automobile booster seat with a lap belt.
Teaching the child about swimming and water safety.
The Correct Answer is A
Choice A rationale
Supervising the child in outdoor, fenced play areas is a key safety measure for toddlers. At this age, children are exploring their environment and may not be aware of potential dangers.
Fenced play areas provide a safe space for the child to play while still being under the watchful eye of the parents. This demonstrates an understanding of the child’s safety needs.
Choice B rationale
Allowing a toddler to cross the street with a 6-year-old sibling is not a safe practice. Children at this age do not have the cognitive ability to understand the dangers of traffic and cannot make safe decisions about when to cross the street. Therefore, this action does not demonstrate an understanding of the child’s safety needs.
Choice C rationale
Using an automobile booster seat with a lap belt is not appropriate for an 18-month-old toddler. According to safety guidelines, children under the age of 2 should be in a rear-facing car seat, and children between the ages of 2 and 4 should be in a forward-facing car seat with a harness. Booster seats are typically used for older children who have outgrown their forward- facing car seats. Therefore, this action does not demonstrate an understanding of the child’s safety needs.
Choice D rationale
Teaching a toddler about swimming and water safety is important, but it is not enough to ensure the child’s safety. Toddlers should always be supervised around water, even if they have had swimming lessons. Drowning is a leading cause of death in toddlers, and it can happen quickly and silently. Therefore, while teaching water safety is a good step, it needs to be combined with other safety measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Adolescents are capable of abstract thinking and can participate in planning. This cognitive development allows them to understand the long-term consequences of their food choices and participate in planning their meals.
Choice B rationale
Adolescents are capable of understanding quantity of mass even if you change the shape. This is a cognitive ability typically developed during the concrete operational stage of cognitive development, which occurs between the ages of 7 and 1189.
Choice C rationale
Adolescents are capable of thinking critically about food choices. With the right guidance and information, they can make informed decisions about their diet.
Choice D rationale
Adolescents are capable of understanding in abstract terms, not just concrete terms. They can understand complex concepts and hypothetical scenarios, which can help them make informed decisions about their food choices.
Correct Answer is B
Explanation
Choice A rationale
A pO2 of 75, pCO2 of 40, and HCO3 of 28 would be within normal limits for an infant. This would not typically be expected in an infant with a history of bronchopneumonia, as this condition often causes hypoxemia (low blood oxygen levels)78.
Choice B rationale
A pO2 of 55, pCO2 of 50, and HCO3 of 30 would indicate respiratory acidosis, which can occur in conditions like bronchopneumonia. The low pO2 indicates hypoxemia, while the high pCO2 indicates hypercapnia (excessive carbon dioxide in the bloodstream). The increased HCO3 is a compensatory mechanism to try to maintain the pH balance.
Choice C rationale
A pO2 of 75, pCO2 of 40, and HCO3 of 24 would be within normal limits for an infant. This would not typically be expected in an infant with a history of bronchopneumonia.
Choice D rationale
A pO2 of 55, pCO2 of 50, and HCO3 of 24 would indicate respiratory acidosis without compensation. However, in a chronic condition like bronchopneumonia, some degree of compensation (increased HCO3) would typically be expected.
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