Nokea
A nurse is planning care for a child who has epiglottitis. Which of the following actions should the nurse plan to take?
- A. Obtain a throat culture.
- B. Visualize the epiglottis using a tongue depressor.
- C. Initiate airborne precautions.
- D. Prepare the child for a neck X Ray and possible tracheostomy
Correct Answer: D
Rationale: A neck X-ray can help diagnose epiglottitis by showing the characteristic "thumb sign."
You may also like to solve these questions
A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?
- A. Restrain the toddler for 1 hr after the procedure.
- B. Place the toddler in a side-lying
- C. knee-chest position.
- D. Ask another nurse to assist with holding the toddler in a prone position.
- E. Swaddle the toddler in a warm blanket.
Correct Answer: B
Rationale: This position helps to open the spaces between vertebrae, facilitating the lumbar puncture.
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
- A. Stand above the child's eye level when speaking.
- B. Talk directly into the child's impaired ear.
- C. Speak loudly to the child.
- D. Speak slowly while facing the child.
Correct Answer: D
Rationale: Speaking slowly and facing the child ensures that they can read lips and facial expressions.
A nurse in a family health clinic is collecting data as part of a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?
- A. Scoliosis
- B. Ankylosis
- C. Kyphosis
- D. Lordosis
Correct Answer: A
Rationale: Scoliosis is characterized by an abnormal lateral curvature of the spine.
A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?
- A. Place a warm
- B. moist heat pack on the cast.
- C. Position the casted arm in a dependent position.
- D. Move the casted arm with a firm grasp.
- E. Administer diphenhydramine to relieve itching.
Correct Answer: D
Rationale: Itching is common under a new cast and diphenhydramine can help manage this symptom without risking damage to the cast
A nurse is reinforcing teaching with an assistive personnel (AP) about counting the respiratory rate for a 1-month-old infant. Which of the following statements by the AP indicates an understanding of the teaching?
- A. I will immediately report irregular respirations.
- B. I will immediately report a respiratory rate of 28.
- C. I will count the baby's respirations for 30 seconds and multiply by two.
- D. I will count the baby's respirations by observing abdominal movements.
Correct Answer: D
Rationale: In infants respiration is primarily diaphragmatic making abdominal movements a reliable indicator of respiratory rate.