The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include?

Wrapping the infant snugly for rest periods.

Positioning the infant prone for sleep.

Sitting the infant up in an infant seat.

Placing infants on their backs or sides for sleep.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Wrapping the infant too snugly, especially around the head, can lead to overheating, which is a known risk factor for SIDS. Overheating can interfere with an infant's ability to arouse from sleep, a protective mechanism against SIDS, and disrupt thermal regulation.

Choice B rationale

Positioning the infant prone (on their stomach) for sleep significantly increases the risk of SIDS. The prone position is associated with rebreathing of exhaled air, leading to carbon dioxide accumulation and oxygen depletion. It also increases the risk of airway obstruction and overheating, both contributing factors to SIDS.

Choice C rationale

Sitting an infant up in an infant seat for sleep is not recommended as a primary sleep position for preventing SIDS. While useful for transport, prolonged sleep in an infant seat can lead to airway compression, head entrapment, and an increased risk of positional asphyxiation, especially if the infant's head slumps forward.

Choice D rationale

Placing infants on their backs or sides for sleep significantly reduces the risk of SIDS. The supine (back) position prevents airway obstruction from rebreathing exhaled air and allows for optimal oxygenation. The side position, while acceptable, is less stable than the back position and is not as strongly recommended.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["440"]

Explanation

Step 1: Convert pounds to kilograms. 72.6 lb ÷ (2.2 lb/1 kg) = 33 kg.

Step 2: Calculate the lower end of the daily dosage range in milligrams. 20 mg/kg/day × 33 kg = 660 mg/day.

Step 3: Calculate the upper end of the daily dosage range in milligrams. 40 mg/kg/day × 33 kg = 1320 mg/day.

Step 4: Calculate the lower end of the single-dose range in milligrams. 660 mg/day ÷ 3 doses/day = 220 mg/dose.

Step 5: Calculate the upper end of the single-dose range in milligrams. 1320 mg/day ÷ 3 doses/day = 440 mg/dose. The single-dose range for this child is 220 mg to 440 mg.

A. An order for an antiviral agent such as oseltamivir. B. Instructions to rest and decrease fluid intake. C. Prescription for antibiotics. D. Admission to an acute care facility.

Correct Answer is A

Explanation

Choice A rationale

Oseltamivir, an antiviral neuraminidase inhibitor, is most effective when administered within 48 hours of influenza symptom onset. It works by inhibiting the viral neuraminidase enzyme, preventing the release of new virions from infected cells, thereby reducing viral spread and shortening the duration and severity of illness, if given early.

Choice B rationale

Rest is indeed important for recovery from influenza, as it conserves energy and allows the immune system to combat the infection. However, decreasing fluid intake is contraindicated; adequate hydration is crucial to prevent dehydration, especially with fever, and to help thin respiratory secretions, facilitating their clearance.

Choice C rationale

Influenza is a viral infection; therefore, antibiotics, which target bacterial pathogens, are ineffective against the influenza virus itself. Administering antibiotics would be inappropriate and could contribute to antibiotic resistance without providing therapeutic benefit for the viral illness, unless a secondary bacterial infection is suspected.

Choice D rationale

Admission to an acute care facility is generally reserved for severe cases of influenza, such as those with respiratory distress, hypoxemia, or significant comorbidities. For a patient whose symptoms started only 24 hours prior and without severe complications, outpatient management with antiviral therapy is typically sufficient.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The recommended dosage of amoxicillin is 20 to 40 mg/kg/day divided in equal doses q h. The medication is supplied as 50 mg/mL oral suspension. The child weighs 72.6 lb. Calculate the single-dose range for this child.

Correct Answer is ["440"]

Explanation

A patient who presents with symptoms of influenza that started 24 hours ago is seen by the health care provider. Which intervention does the nurse expect for this patient?

Correct Answer is A

Explanation

A client is admitted with suspected pneumonia from the emergency department. The client went to the primary healthcare provider a "few days ago" and shows the nurse the results of what the client calls "an allergy test," as shown below: The reddened area is firm. What action by the nurse is best?

A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client asks about this action, saying "I have been drinking tons of water. How am I dehydrated?" What response by the nurse is best?

A nurse assesses a client who is prescribed fluticasone and notes oral lesions. What action would the nurse take?

What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)

A nurse is teaching the parents of a 5-year-old child admitted to the pediatric unit with cystic fibrosis. Which teaching statement concerning steatorrheaic stools is most accurate?

A pulmonary nurse cares for clients who have chronic obstructive pulmonary disease (COPD). Which client would the nurse assess first?

A patient with a viral infection is to receive ganciclovir (Cytovene) 5 mg/kg/day IVPB every morning. The patient weighs 110 pounds. Identify how many milligrams this patient will receive for this dose.

A patient has been compliant with drug therapy for tuberculosis (TB) and has returned as instructed for follow-up. Which result indicates that the patient is no longer infectious or communicable?