NUR 243 TEST 1 UPDATED ACTUAL Questions and CORRECT
Answers
Airway Hazards Aspiration/Choking: hot dogs, popcorn, chips, candy, whole grapes, nuts,
balloons, coins, marbles, buttons, beads, toys, batteries
Asphy xia/Suffocation: plastic bags, saran wrap, tents, duct tape, pillows
Hazard Prevention - Make crib slats no more than 6 cm apart; mattress tight; remove crib mobile by
4-5 mo
- No bottle propping; head up during and 30-60 min post feed; small, frequent
feeds
- Avoid drawstrings
- Teach parents CPR/Choking Care
- SIDS prevention
Drowning - Bathing: do not leave infant/small child alone/unattended
- Pool: fence with self-latching gates, swim lessons, no running, no diving in
shallow water
- Lake/Ocean: life jackets, do not swim alone, learn to float, take breaks
- Other: do not leave toilet lids open or mop buckets with water; learn CPR
Poisoning Precautions - Lock chemicals/drugs up and away
- Keep in original packaging
- Never mix chemicals
- Read labels
- Know poison control number
- Call 911 instead if emergency
- Safely dispose of chemicals/drugs
- Evaluate for sources of lead
,Fall Precautions - Look for hazards
- Follow playground rules
- Install home locks and safety gates
- Don't leave child unattended and supervise
- Use night lights
- Non-slip rugs and remove clutter
- Crib mattress low and rails up
- Wide base chair to prevent tipping
- Avoid traditional baby walkers
- Use protective equipment for sports
Burn Precautions - Smoke alarms and fire extinguishers
- Have an escape plan
- Turn pot handles inward, don't leave stove unattended, do not warm formula in
microwave
- Check water temperature (no more than 120 degrees)
- Blow out candles and put out cigarettes
- Keep matches/lighters out of reach
- Cover electrical outlets
- Use sunscreen and avoid tanning beds
, Motor Vehicle Safety - Use appropriate car seat
Birth – 2 y ears: Rear-facing car seat
2 y ears – at least 5: Forward-facing car seat
5 y ears until seat belts fit properly: Boosterseat
Once Seat Belts Fit Properly without a Booster Seat: Seat Belt
- Buckle all children < 12 in back seat
- Don't seat children in front of an airbag
- Seat children in middle of back seat
- Use properly fitting restraints every trip
- Teach pedestrian safety and drug/alcohol consequences
- Bike: proper size, wear shoes/helmet, wear light colored clothes, teach rules of
the road
Maximum Dose Calculation 1. Look at high range # of MSD (day or dose)
2. Multiply maximum safe dose by kgs to get safe dose
3. Multiply dose by frequency if necessary
4. Compare MSD and ORD (if MSD is greater then IT IS SAFE)
IVF Maintainance Calculation 100 ml/kg/day for the 1st 10 kgs of pts weight
50 ml/kg/ day for the 2nd 10 kgs of pts weight
20 ml/kg/day for the pts remaining weight
Total of above divided by 24 (hours) = hourly rate
Example: 30 kgs
10 X 100 = 1000
10 X 50 = 500
10 X 20 = 200
1700 ml/day
1700divided by 24 = 70.83 ml/ hour
Volume To Be Infused - VTBI in children is 2x the hourly rate
- Nurse checks infusion every 2 hours
Answers
Airway Hazards Aspiration/Choking: hot dogs, popcorn, chips, candy, whole grapes, nuts,
balloons, coins, marbles, buttons, beads, toys, batteries
Asphy xia/Suffocation: plastic bags, saran wrap, tents, duct tape, pillows
Hazard Prevention - Make crib slats no more than 6 cm apart; mattress tight; remove crib mobile by
4-5 mo
- No bottle propping; head up during and 30-60 min post feed; small, frequent
feeds
- Avoid drawstrings
- Teach parents CPR/Choking Care
- SIDS prevention
Drowning - Bathing: do not leave infant/small child alone/unattended
- Pool: fence with self-latching gates, swim lessons, no running, no diving in
shallow water
- Lake/Ocean: life jackets, do not swim alone, learn to float, take breaks
- Other: do not leave toilet lids open or mop buckets with water; learn CPR
Poisoning Precautions - Lock chemicals/drugs up and away
- Keep in original packaging
- Never mix chemicals
- Read labels
- Know poison control number
- Call 911 instead if emergency
- Safely dispose of chemicals/drugs
- Evaluate for sources of lead
,Fall Precautions - Look for hazards
- Follow playground rules
- Install home locks and safety gates
- Don't leave child unattended and supervise
- Use night lights
- Non-slip rugs and remove clutter
- Crib mattress low and rails up
- Wide base chair to prevent tipping
- Avoid traditional baby walkers
- Use protective equipment for sports
Burn Precautions - Smoke alarms and fire extinguishers
- Have an escape plan
- Turn pot handles inward, don't leave stove unattended, do not warm formula in
microwave
- Check water temperature (no more than 120 degrees)
- Blow out candles and put out cigarettes
- Keep matches/lighters out of reach
- Cover electrical outlets
- Use sunscreen and avoid tanning beds
, Motor Vehicle Safety - Use appropriate car seat
Birth – 2 y ears: Rear-facing car seat
2 y ears – at least 5: Forward-facing car seat
5 y ears until seat belts fit properly: Boosterseat
Once Seat Belts Fit Properly without a Booster Seat: Seat Belt
- Buckle all children < 12 in back seat
- Don't seat children in front of an airbag
- Seat children in middle of back seat
- Use properly fitting restraints every trip
- Teach pedestrian safety and drug/alcohol consequences
- Bike: proper size, wear shoes/helmet, wear light colored clothes, teach rules of
the road
Maximum Dose Calculation 1. Look at high range # of MSD (day or dose)
2. Multiply maximum safe dose by kgs to get safe dose
3. Multiply dose by frequency if necessary
4. Compare MSD and ORD (if MSD is greater then IT IS SAFE)
IVF Maintainance Calculation 100 ml/kg/day for the 1st 10 kgs of pts weight
50 ml/kg/ day for the 2nd 10 kgs of pts weight
20 ml/kg/day for the pts remaining weight
Total of above divided by 24 (hours) = hourly rate
Example: 30 kgs
10 X 100 = 1000
10 X 50 = 500
10 X 20 = 200
1700 ml/day
1700divided by 24 = 70.83 ml/ hour
Volume To Be Infused - VTBI in children is 2x the hourly rate
- Nurse checks infusion every 2 hours
