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","B","C"]
Explanation
Choice A rationale
Pain management is crucial after a tonsillectomy. Pain can prevent children from eating or drinking, leading to dehydration. Therefore, ensuring that the child’s pain is well managed is an important part of post-operative care.
Choice B rationale
Mild ear pain or bad breath after surgery can be signs of complications such as infection. Therefore, parents should be instructed to report these symptoms if they occur.
Choice C rationale
After a tonsillectomy, the throat is often sore and swollen. Eating soft foods can help prevent further irritation or injury to the throat. Crunchy foods could scratch the healing throat and cause discomfort.
Choice D rationale
While it’s true that scabs will form on the tonsils as they heal, it’s important to monitor them. If a scab dislodges too early, it can cause bleeding. Therefore, this statement is not entirely accurate and should not be included in the discharge instructions.
Correct Answer is C
Explanation
Choice A rationale
While it’s true that early recognition of symptoms can help in managing respiratory infections, this is not the primary reason why infants are at increased risk. Infants can be more susceptible to respiratory infections due to physiological factors rather than caregiver awareness.
Choice B rationale
Infants do have smaller airways compared to adults, which can allow for a larger number of organisms to enter. However, the size of the airways is not the main factor that increases the risk of respiratory infections in infants. Other factors, such as the maturity of the immune system and the ability to clear the airways, play a more significant role.
Choice C rationale
Infants’ airways are indeed narrow and can obstruct more easily, trapping organisms. This is one of the main reasons why infants are at an increased risk for respiratory infections. The narrow airways in infants can lead to increased resistance and decreased airflow, making it easier for organisms to invade and cause infections.
Choice D rationale
While it’s true that infants have faster respiratory rates than adults, this does not necessarily increase their risk for respiratory infections. A faster respiratory rate does not inhibit an infant’s ability to cough effectively. In fact, coughing is a protective reflex that can help clear the airways of mucus and foreign particles.
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