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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Rocking the baby to sleep and then laying the baby in the crib might not alleviate the baby’s shortness of breath and irritability. While rocking can be soothing, it does not address the underlying issue of respiratory difficulty.

Choice B rationale

Taking the baby from the mother and laying the baby in the crib might not be the best advice. Separation from the mother might increase the baby’s distress and does not address the baby’s respiratory difficulty.

Choice C rationale

Feeding the baby and then laying the baby down might not be the best advice. Feeding can be difficult for a baby who is tachypneic and might increase the risk of aspiration.

Choice D rationale

Advising swaddling the baby and placing the baby on its back at a 30-degree angle in the crib is the best advice. This position can help to decrease work of breathing and increase comfort, which might help the baby to rest better.

A. The medication is a bronchodilator, which opens airways. B. The medication will thin the child’s mucus. C. The medication will reduce wheezing. D. The medication will decrease coughing and shortness of breath. E. The medication is a steroid, which reduces inflammation.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it works by relaxing the muscles around the airways in the lungs. This allows the airways to open up, making it easier for the child to breathe.

Choice C rationale

Albuterol can help reduce wheezing, a common symptom of asthma. Wheezing occurs when the airways are narrowed or blocked, causing a whistling sound when the child breathes. By opening the airways, albuterol can help alleviate this symptom.

Choice D rationale

Albuterol can also decrease coughing and shortness of breath, two other common symptoms of asthma. By improving airflow in the lungs, albuterol can help the child breathe more easily and comfortably.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses will the nurse include? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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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?