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
Disposable diapers are not typically sources of healthcare-associated infections if used appropriately. They are designed for single use and are disposed of after use, minimizing the risk of infection.
Choice B rationale
Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately. They are designed to protect healthcare workers and patients from the spread of infections and are disposed of after use.
Choice C rationale
Unopened bottles of formula are not typically sources of healthcare-associated infections. They are sealed and sterile until opened, reducing the risk of contamination.
Choice D rationale
Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections. They are frequently touched by healthcare workers and can become contaminated with pathogens, making them a common source of healthcare-associated infections.
Correct Answer is C
Explanation
Choice A rationale
Checking the newborn’s eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. The primary concern during phototherapy is monitoring the newborn’s temperature and hydration status.
Choice B rationale
Placing mittens on the newborn’s hands is unrelated to the management of hyperbilirubinemia or phototherapy. Mittens are typically used to prevent the newborn from scratching themselves.
Choice C rationale
Monitoring the newborn’s temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. This helps ensure the newborn maintains a stable body temperature.
Choice D rationale
Applying lotion to the newborn’s skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights. The lotion can act as a barrier, reducing the amount of light that reaches the skin.