Question

11. A nurse is providing discharge teaching to the parents of an infant who is at...

11. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching?
a. “I will move my baby’s stuffed animal to the corner of her crib while she sleeps”
b. “I will have my baby sleep next to me in bed during the night”
c. “I will dress my baby in lightweight clothing to sleep”
d. “I will lay my baby on her side to sleep for naps”

12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take?
a. Place the child in a side-lying position
b. Instruct the child to drink fluids through a straw
c. offer the child ice cream when alert
d. Encourage the child to deep breathe and cough

13. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
a. Contact the client’s parents to obtain phone consent
b. Obtain written consent from the client
c. Request verbal consent from the social worker
d. Postpone the testing until the client’s parents are present

14. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
a. A toddler who has a partial-thickness burn on his right hand and requires a dressing change
b. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin
c. An adolescent who has sickle cell anemia and slurred speech
d. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to10

15. A nurse is assessing a 5 month-old infant. Which of the following findings should the nurse report to the provider?
a. Unable to hold a bottle
b. Absent grasp reflex
c. Exhibits head lag when pulled to a sitting position
d. Unable to roll from back to abdomen

Homework Answers

Answer #1

11: Which of the following statement by parents indicates an understamding of teaching about SIDS?

Answer: option c indicates the understanding of SIDS by the parent.

Sudden infant death syndrome is a condition of sudden death of an infant before 12 months of age that occur suddenly, unexpectedly, and without any obvious cause. Live patients may be seen brief resolved unexplained events (BRUE), formally called apparently life threatening events (ALTE) and BRUE survivors are always prone to SUID. Since the mechanism of death and cause of death is unknown, the infant need care from parents to avoid the death. The classic presentation of SIDS begins with an infant who is put to bed typically after breastfeeding or bottle feeding and Usually the baby is found dead in the position, in which he or she had been placed at bed time or nap time.

Option a is wrong. Because, An infant who is at risk for SIDS, needs verymuch care and, moving stuffed animals to the corner of her crib will increase the chance of suffocation. So it will increase the chance of SIDS.

Option b and d are not much right. Because the infant is at higher risk for SIDS, and he or she needs atmost care from parents. Eventhough the cause of death is unknown, it is said to be that, SIDS is associated with some problems in the arousal of baby from sleep. Normally the increasing carbon dioxide will activate the nerve cells, which stimulate the brains respiratory and arousal centres. Then the baby wakes up and turns his head and starts breaths faster  to get more oxygen. But the SIDS baby fails to rouse. So infants at higher risk should be checked in intervels by parents. The external factors which can cause a suffocation like too soft bedsheet, fluffy blankets, toys, should be removed by parents. Also to prevent the baby from sleeping on stomach. So infant should be in parents room, but not on same bed, but in seperate crib.Because passive smoking from parents, and  alcoholism of parents are risk factors to infants.

In case of Option c, wearing light weight clothes by infant is good, because it will prevent the overheating, and provide much air circulation near infant. So wearing light weight clothes and avoiding blankets are a better way to avoid SIDS. So it is the most apropriate answer.

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