The nurse practitioner is conducting an injury prevention class for children between age 7 and 11 years. Which recommendation should NOT be part of teaching this age group?
Wear lap and shoulder belts when riding in the front passenger seat of a car.
Wear bicycle helmets when riding bicycles.
Riding in the backseat of a car is safer than riding in the front seat.
Use a multipurpose lighter to light fireworks rather than matches
The Correct Answer is D
Rationale:
A. Wearing lap and shoulder belts is essential for all passengers, including children, to reduce injury risk in car accidents.
B. Bicycle helmets significantly decrease the risk of head injury and should always be worn by children while riding.
C. Children under 13 years of age are generally safer in the backseat than the front seat due to airbag risks.
D. Using a multipurpose lighter to ignite fireworks is unsafe and should never be recommended to children. Fireworks should only be handled by adults, and children should be taught not to light fireworks themselves to prevent burns, eye injuries, or accidental fires.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Oxybutynin (Ditropan XL) is used primarily for bladder overactivity and may be considered earlier than third-line therapy depending on the patient’s symptoms.
B. Desmopressin acetate (DDAVP) is usually first-line pharmacologic therapy for primary nocturnal enuresis, particularly when fluid restriction and behavioral strategies have failed.
C. Tolterodine (Detrol) is another anticholinergic used for overactive bladder but is generally not considered third-line for uncomplicated enuresis.
D. Imipramine (Tofranil), a tricyclic antidepressant, is considered third-line therapy for enuresis due to its potential for significant side effects, including cardiac toxicity in overdose. It is reserved for patients who do not respond to behavioral strategies and first-line medications.
Correct Answer is C
Explanation
Rationale:
A. Persistent worry about future events is more characteristic of generalized anxiety disorder rather than depression.
B. Unrealistic worry about harm to family is also suggestive of anxiety disorders in children.
C. Loss of pleasure in almost all activities (anhedonia) is a core symptom of depression in children and adolescents, alongside other signs such as sleep disturbances, poor school performance, and decreased concentration.
D. Hyperventilation is typically a physical manifestation of anxiety or panic attacks, not depression.
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