A parent and 3-month-old infant are visiting the well-baby clinic for a routine examination. What instruction should the nurse include in the accident-prevention teaching plan?
a. Remove small objects from the floor.
b. Cover electric outlets with safety plugs.
c. Remove toxic substances from accessible areas.
d. Test the temperature of water before bathing.
Ans: d. Test the temperature of water before bathing.
Excessively high temperatures can damage the delicate skin of an infant. Although infants are capable of putting small things in their mouths, they are not yet able to crawl and probably will not be placed on the floor. At 3 months of age infants are not yet able to explore the environment to the point that electric outlets pose a problem. At 3 months of age infants are still too small and have not yet developed motor capabilities to get into containers of poison.
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A client receiving hemodialysis treatments wants to take a multivitamin supplement several times a day. Which direction should the nurse provide to this client?
a. "All water-soluble vitamins are removed by dialysis." b. "The most common vitamin deficiency is B12, so take that." c. "Vitamins are not toxic and extra amounts will not cause harm." d. "Avoid vitamins that are fat soluble because they are not removed by dialysis."
The nurse overhears a student nurse discussing the three areas of focus of cultural care nursing. Which statement by the student best indicates a lack of understanding of cultural care nursing?
1. "The nurse must understand the client's background." 2. "A nurse must acknowledge the total context of the client's situation. 3. "When caring for clients, the nurse should be familiar with the client's cultural health practices." 4. "Nursing considerations regarding the client's culture should be incorporated into the care plan."
A client with a complete heart block receives a permanent pacemaker. Which of the following discharge instructions should be given by the nurse?
A) "Do not fly on commercial airplanes as long as you have the pacemaker." B) "You will be taught to take your pulse, and should check it daily when you get home." C) "Do not use a microwave to cook your food even if you stand 10 feet from the oven." D) "Do not use your right arm for six weeks to avoid injury to the pacemaker incision."
An advance directive should be signed when
A) the family is ready. B) death appears imminent. C) an attorney is present. D) the patient is mentally alert.