A nurse is planning a class on accident prevention for parents of ...

[awywial]

A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class?
 
  a. Appropriate use of car seat restraints
  b. Safety crossing the street
  c. Helmet use when riding a bicycle
  d. Poison control numbers

Question 2

A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure?
 
  a. Dressing change to appendectomy incision completed, child tolerated procedure well, parent present
  b. No complications noted during dressing change to appendectomy incision
  c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, new dressing applied, procedure tolerated well by child
  d. No changes to appendectomy incisional area, dressing changed, child complained of pain during procedure, new dressing clean, dry and intact

[karmakat49]

Answer to Question 1

ANS: A
Motor vehicle accidents (MVAs) continue to be the most common cause of death in children older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety crossing the street and bicycle helmet use are topics that should be included for preschool parents but are not priorities for parents of toddlers. Information about poison control is important for parents of toddlers and would be a safety topic to include but is not the priority over appropriate use of car seat restraints.

Answer to Question 2

ANS: C
The nurse should document assessments and reassessments. Appearance of the incision described in objective terms should be included during a dressing change. The nurse should document patient's response and the outcomes of the care provided. In this example, these include drainage on the old dressing, the application of the new dressing, and the child's response. The other statements partially fulfill the requirements of documenting assessments and reassessments, patient's response, and outcome, but do not include all three.