NCLEX-RN Nursing — All Questions

A nurse is teaching poison safety to the parents of a 2-year-old. Which statement by a parent indicates a need for further teaching?

• a.We keep pills in their original child-resistant bottles
• b.We call 1-800-222-1222 before we do anything else
• c.We keep syrup of ipecac on hand to make him vomit✓
• d.We store the drain cleaner in a locked cabinet up high

The American Academy of Pediatrics withdrew its recommendation for home ipecac in 2003 and advises that any ipecac already in the home be discarded, since inducing vomiting does not improve outcomes and carries its own risks. Calling Poison Help at 1-800-222-1222 first, locking up caustics out of reach, and leaving medicines in child-resistant packaging are all correct practices.

A nurse is discussing car seat use with the parent of a 14-month-old. Which statement by the parent indicates that the teaching was effective?

• a.She rides rear-facing until she outgrows the seat's height or weight limit✓
• b.She can turn forward-facing now that she is over one year old
• c.She can move to a booster seat as soon as she turns four years old
• d.She can ride in the front seat once she can buckle herself in

The AAP and NHTSA both frame rear-facing as a height-and-weight rule rather than a birthday: the child rides rear-facing until she reaches the highest weight or height her car safety seat allows, which for most convertible seats is well past age two. Turning a 14-month-old forward-facing because she has passed her first birthday applies an age-based rule that is no longer recommended, and the back seat remains the safest place for children younger than 13.