護理師教導家長關於 2 歲兒童的安全防護。下列何項指導最優先？
A nurse is teaching a parent about safety for a 2-year-old child. Which instruction is the priority?
- AKeep the child in a rear-facing car seat讓兒童使用向後式汽車安全座椅
- BLock cabinets containing cleaning supplies鎖好存放清潔用品的櫃子
- CEnsure all small objects are out of reach確保所有小物件遠離觸及範圍
- DSupervise the child at all times during bath time✓ 正解在沐浴期間全程監護兒童
NCLEX 考題首重安全性與生命威脅（Safety & Life-threatening）。2 歲幼兒好奇心強，且對水深無判斷力。溺水（Drowning）可在極短時間內發生且無聲無息，沐浴時的監護是預防意外死亡的最優先事項。雖然居家安全（防誤食、防跌）亦重要，但溺水風險在特定時刻（沐浴）最為致命且具急迫性。
NCLEX questions prioritize safety and life-threatening conditions. A 2-year-old toddler is highly curious and unable to judge water depth. Drowning can occur in a very short time and silently, so supervision during bath time is the highest priority for preventing accidental death. Although home safety (preventing ingestion and falls) is also important, the risk of drowning at specific moments (during bathing) is the most lethal and urgent.
美國兒科安全指引對溺水預防極度強調「Constant Supervision」，即視線不可離開，這在 NCLEX 題目中屬於必須優先執行的護理指導。