The nurse is planning an educational session for new parents on ways to prevent sudden infant death syndrome (SIDS). Which information is most important to provide parents of newborns and infants?

Position the infant in a supine position while sleeping.

Keep a bulb syringe accessible for use for an infant.

Remove pillows and soft toys from the crib at bedtime.

Do not prop bottles for an infant during naps and bedtime.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Position the infant in a supine position while sleeping: Placing infants on their backs to sleep is the single most effective and evidence-based method for reducing the risk of SIDS. This recommendation is central to all safe sleep guidelines and should be emphasized as the most critical point in parent education.

B. Keep a bulb syringe accessible for use for an infant: While helpful for managing nasal or oral secretions, having a bulb syringe nearby does not directly prevent SIDS. It is supportive care but not a core preventive measure.

C. Remove pillows and soft toys from the crib at bedtime: This is an important secondary recommendation to reduce suffocation risks. However, it complements but does not replace the significance of proper sleep positioning in SIDS prevention.

D. Do not prop bottles for an infant during naps and bedtime: Bottle propping increases the risk of aspiration and ear infections but is not directly related to SIDS. It is an unsafe practice, but not the most important intervention for SIDS prevention.

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Correct Answer is B

Explanation

Rationale:
A. Full volume of pedal pulses: Pedal pulses reflect peripheral arterial circulation, not neuropathic pain. Pregabalin does not affect vascular flow, so this finding is unrelated to the medication’s intended effect.

B. Reduced level of pain: Pregabalin is an anticonvulsant used to treat neuropathic pain by modulating nerve signals. A reduction in reported pain confirms that the medication is helping manage the client’s diabetic nerve pain.

C. Granulating tissue in foot ulcer: Wound healing is influenced by infection control, circulation, and blood glucose management—not directly by pregabalin. While important, this finding does not measure the drug’s effectiveness for neuropathy.

D. Improved visual acuity: Visual changes are not treated with pregabalin and may be associated with diabetic retinopathy. Pregabalin does not improve vision and is not indicated for ocular complications of diabetes.

A. Blood pressure of 120/74 mm Hg B. Capillary refill of 4 seconds in lower extremities C. Pedal pulse of 2+ or better D. Pupils equal and nonresponsive to light E. Absence of numbness or tingling in feet F. Skin that is pale, cool to touch G. Client has urine output of 1,600 mL in 24 hours H. Creatinine of 1.2 mg/dL (106 mmol/L)

Correct Answer is ["A","C","E","G","H"]

Explanation

Rationale for Correct Choices:

Blood pressure of 120/74 mm Hg: This is within the normal range and indicates stable cardiovascular function, which supports discharge readiness following an aortic aneurysm intervention.
Pedal pulse of 2+ or better: A 2+ pulse signifies adequate peripheral perfusion. It is important for assessing vascular integrity postoperatively, especially for patients with a history of aneurysmal disease.
Absence of numbness or tingling in feet: Normal neurovascular sensation in the lower extremities suggests intact peripheral nerve and vascular supply, a critical discharge criterion after vascular complications.
Client has urine output of 1,600 mL in 24 hours: This volume reflects adequate renal perfusion and fluid balance, within the normal range (800-2000 mL/day for adults) both of which are necessary to confirm the kidneys are functioning properly post-recovery.
Creatinine of 1.2 mg/dL (106 mmol/L): This value is within normal limits (0.6-1.2 mg/dL), indicating that renal function is preserved and not compromised by the previous cardiovascular event or interventions.

Rationale for Incorrect Choices:

Capillary refill of 4 seconds in lower extremities: A capillary refill time longer than 2–3 seconds suggests impaired perfusion, which would warrant further evaluation before discharge.
Pupils equal and nonresponsive to light: This indicates a serious neurological deficit, potentially related to brain injury or altered consciousness, and is incompatible with safe discharge.
Skin that is pale, cool to touch: This suggests possible peripheral hypoperfusion or systemic circulatory compromise and would need to be resolved before considering discharge.

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Body system	Findings
Cardiovascular	Blood pressure of 120/74 mm Hg Capillary refill of 4 seconds in lower extremities Pedal pulse of 2+ or better
Neurovascular	Pupils equal and nonresponsive to light Absence of numbness or tingling in feet Skin that is pale, cool to touch
Renal Perfusion	Client has urine output of 1,600 mL in 24 hours Creatinine of 1.2 mg/dL (106 mmol/L)

The nurse is planning an educational session for new parents on ways to prevent sudden infant death syndrome (SIDS). Which information is most important to provide parents of newborns and infants?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days. Which finding indicates to the nurse that the medication is effective?

Correct Answer is B

Explanation

Correct Answer is ["A","C","E","G","H"]

Explanation

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