The home health nurse is observing the home environment for ...

[wrbasek0]

The home health nurse is observing the home environment for safety issues to discuss with the mother. Which observation creates a risk of injury for the toddler?
 
  1. The mother fills the mop bucket and places it on the floor. She then leaves the room to obtain the mop.
  2. When cooking, the mother only uses the back burners of the stove.
  3. The mother straps her child into the high chair.
  4. The mother has child-proof latches only on the cabinets containing household chemicals, medications, and poisons.

Question 2

Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now four hours since the child's surgery. Which assessment finding should be reported to the surgeon?
 
  1. The infant has bloody urine.
  2. The infant has voided one time since returning from surgery.
  3. The infant seems to be having bladder spasms that respond favorably to anticholinergic medications.
  4. Double diapering the infant has resulted in the stent being free from stool contamination.

[nhea]

Answer to Question 1

1
Rationale 1: Children can drown in 6 inches of water or less. A curious toddler may fall into the bucket and not have the dexterity to get out and drown.
Rationale 2: This is a safe practice as toddlers can reach up and pull pans off the stove or reach up and touch a hot burner.
Rationale 3: Toddlers like to climb and can be very quick. By strapping the child into the chair, the mother is reducing the risk of a fall.
Rationale 4: This is a convenience issue for the mother. If the cabinet does not contain any danger to the child, the doors do not need to be child-proof.
Global Rationale:

Answer to Question 2

2
Rationale 1: Bloody urine is expected in the immediate postoperative period.
Rationale 2: A 10-month-old will void more often than one time in four hours. This could indicate the stent is occluded. The surgeon should be notified.
Rationale 3: This is a normal finding.
Rationale 4: This is a desired finding and doesn't need to be reported to the surgeon.
Global