Nokea
After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for __ months.
Correct Answer: 9
Rationale: Antiviral medications for RSV can interfere with the immune response to vaccinations, requiring a 9-month delay.
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What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
- A. Offer plenty of fluids, particularly carbonated beverages.
- B. Place the child in a humidified cool mist tent with oxygen.
- C. Administer sedatives as ordered to decrease anxiety.
- D. Position the child with arms resting on the overbed table.
Correct Answer: D
Rationale: This position is comfortable and allows maximum use of the accessory muscles for breathing.
Which statement indicates that the child's parents understand how to perform respiratory therapy?
- A. We do her postural drainage before the aerosol therapy.'
- B. We give her respiratory treatments when she is coughing a lot.'
- C. We give the aerosol followed by postural drainage before meals.'
- D. She needs respiratory therapy every day when she has an infection.'
Correct Answer: C
Rationale: Postural drainage for the child with CF is done following nebulization. Therapy is best scheduled before meals or at least 1 hour after eating to prevent vomiting.
What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?
- A. Acetaminophen and plenty of fluids
- B. Oral penicillin for 10 days
- C. Penicillin until his sore throat is gone
- D. Streptococcus immunization
Correct Answer: B
Rationale: When a throat culture is positive for group A beta-hemolytic streptococcus, penicillin is administered for 10 days even if symptoms are alleviated before the medication is finished.
The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate?
- A. Bleeding from the surgical site
- B. Pain at the incision area
- C. Sore throat from postnasal drip
- D. Potential vomiting
Correct Answer: A
Rationale: Hemorrhage is the most common postoperative complication. Blood trickling down the back of the child's throat could cause frequent swallowing.
What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
- A. Stuffed toys
- B. Pet ownership
- C. Gymnastics
- D. Basketball
- E. Cotton blankets
Correct Answer: A,B,D
Rationale: Stuffed toys and pet ownership can trigger asthma due to allergens, and basketball requires prolonged energy output, which may exacerbate symptoms.