A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form?

Correct Answer: C

Rationale: The correct answer is C: Nuclear family. A nuclear family consists of two parents and their children, which aligns with the definition provided by the child's parents. This family form is characterized by a core unit of parents and children living together. A: Extended family includes relatives beyond the nuclear family, such as grandparents, aunts, uncles, and cousins. B: Blended family refers to a family structure that includes stepparents, stepsiblings, or half-siblings from previous relationships. D: Intergenerational family involves multiple generations living together or in close proximity, such as grandparents, parents, and children.

Correct Answer: C

Rationale: The correct answer is C: Measure and record intake and output for a client. This task can be safely delegated to an assistive personnel (AP) because it is a routine, non-invasive task that does not require critical thinking or nursing judgment. APs are trained to measure and record intake and output accurately under the supervision of a nurse. This task helps monitor a client's fluid balance and is important for assessing their overall health status. Choices A, B, and D are incorrect: A: Perform wound irrigation for a client - This task involves a higher level of skill and requires assessment and decision-making, making it inappropriate for delegation to an AP. B: Evaluate pain relief for a client following the administration of a pain medication - This task requires nursing judgment and assessment of the client's response to pain medication, which should be done by a nurse. D: Teach a client about low-sodium foods - Client education involves providing accurate information, assessing understanding, and addressing individual needs, which require

Correct Answer: B

Rationale: The correct answer is B because ibuprofen tablets can cause severe toxicity if not removed promptly. Gastric lavage helps remove the ingested drug before it is fully absorbed, reducing its effects. Infants with botulism (choice A) require supportive care, not gastric lavage. Swallowing powdered plant food (choice C) may cause irritation but typically does not require gastric lavage. Ingesting vitamins (choice D) generally does not necessitate gastric lavage unless they are in a toxic amount.

Correct Answer: B

Rationale: The correct answer is B: Backward, so child faces the seat. Infants should always be placed in a rear-facing car seat as it provides the best protection in the event of a crash, supporting their head, neck, and spine. This position helps distribute crash forces evenly and reduces the risk of serious injury. Facing the seat also prevents the infant from being thrown forward in a sudden stop or collision. Choice A is incorrect because forward-facing seats are not safe for infants. Choice C is incorrect as side-facing positions are dangerous. Choice D is incorrect as infants should never be placed lying on their back in a car seat installed sideways.

Correct Answer: A

Rationale: The correct answer is A because it focuses on addressing the specific issue of delegating tasks unfairly and leaving tasks incomplete in a professional and solution-oriented manner. By discussing unit expectations regarding delegating and completing tasks, the charge nurse can clarify expectations, provide guidance, and set clear boundaries for the staff nurse to follow. Choice B is incorrect as it does not address the specific behaviors of unfair task delegation and incomplete tasks and instead relies on hearsay from other staff members. Choice C is incorrect as it jumps to a threat of informing the nurse manager without attempting to address the issue directly with the staff nurse first. Choice D is also incorrect as it uses accusatory language without providing constructive feedback or guidance on how to improve the situation.