A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Keep electrical wires hidden from view.
Encourage outdoor activities between the hours of 1100 and 1300.
Set the water heater to 60°C (140°F).
Turn pot handles toward the front of the stove.
The Correct Answer is A
Choice A rationale
Keeping electrical wires hidden from view is essential to prevent toddlers from pulling on them, which can lead to electrical burns or other injuries. It is a proactive measure to ensure a safe environment for children who are naturally curious and prone to exploring with their hands.
Choice B rationale
Encouraging outdoor activities between the hours of 1100 and 1300 can expose toddlers to the sun’s peak intensity, increasing the risk of sunburn. It is safer to encourage outdoor activities outside these hours when the sun is less intense.
Choice C rationale
Setting the water heater to 60°C (140°F) is too high and poses a scalding risk. The recommended temperature to prevent burns is 49°C (120°F), which is hot enough for household use but not so hot as to cause immediate burns upon contact.
Choice D rationale
Turning pot handles toward the front of the stove is dangerous as it increases the risk of toddlers reaching up and pulling hot contents onto themselves. The correct practice is to turn pot handles toward the back of the stove to keep them out of reach of children.
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Correct Answer is D
Explanation
Choice A rationale
Placing the infant in a recumbent position during feeding is not recommended as it can increase the risk of aspiration. The infant should be held in an upright or semi-upright position to facilitate safe swallowing and digestion.
Choice B rationale
Allowing the infant 45 minutes for each feeding can be too long and may lead to fatigue and decreased feeding efficiency. It is generally recommended to limit feeding sessions to 20-30 minutes to ensure the infant gets adequate nutrition without becoming overly tired.
Choice C rationale
Allowing the infant to self-soothe by crying prior to feeding is not advisable, especially for infants with heart failure. Crying can increase the infant’s metabolic demands and oxygen consumption, which can be detrimental to their condition.
Choice D rationale
Implementing a 3-hour feeding schedule helps ensure that the infant receives regular and consistent nutrition. This schedule can help manage the infant’s energy levels and prevent fatigue, which is important for infants with heart failure.
Correct Answer is C
Explanation
Choice A rationale
Enuresis (bedwetting) is not an immediate concern in a child with sickle cell anemia and does not require urgent reporting to the provider.
Choice B rationale
Kyphosis (curvature of the spine) is not an immediate concern in a child with sickle cell anemia and does not require urgent reporting to the provider.
Choice C rationale
Facial twitching is a priority finding as it may indicate a neurological complication or electrolyte imbalance, which requires immediate attention and intervention.
Choice D rationale
Constipation is not an immediate concern in a child with sickle cell anemia and does not require urgent reporting to the provider.