The parent of 16-month-old Chris asks, What is the best way to ...

[lak]

The parent of 16-month-old Chris asks, What is the best way to keep Chris from getting into our medicines at home? The nurse should advise that
 
  a. All medicines should be locked away securely.
  b. The medicines should be placed in high cabinets.
  c. Chris just needs to be taught not to touch medicines.
  d. Medicines should not be kept in the homes of small children.

Question 2

A client in labor is found to have meconium-stained amniotic fluid upon rupture of membranes. At delivery, the nurse finds the infant to have depressed respirations and a heart rate of 80. The nurse anticipates which of the following to occur?
 
  1. Deliver the neonate on its side with head up, to facilitate drainage of secretions.
  2. Direct tracheal suctioning by specially trained personnel.
  3. Prepare for the immediate use of positive pressure to expand the lungs.
  4. Suction the oropharynx when the newborn's head is delivered.

[onowka]

Answer to Question 1

A
Feedback
A The major reason for poisoning in the home is improper storage. Toddlers can
climb, unlatch cabinets, and obtain access to high-security places. For
medications, only a locked cabinet is safe.
B Toddlers can climb by using furniture. High places are not a deterrent to an
exploring toddler.
C Toddlers are not able to generalize as dangerous all of the different forms of
medications that may be available in the home.
D This is not feasible. Many parents require medications for chronic illnesses.
Parents must be taught safe storage for their home and when they visit other
homes.

Answer to Question 2

2
Rationale:
1. The newborn is not delivered on its side.
2. Direct tracheal suctioning by specially trained personnel is recommended for infants who experience absent or depressed respirations, heart rate less than 80 beats per minute, or poor muscle tone.
3. Positive pressure is not used to expand lungs.
4. Intrapartum suctioning after the head of the newborn is delivered is no longer recommended.