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How would the nurse advise a mother to clear the nostrils when her infant has a cold?
- A. Clear the nasal passages after the infant has a feeding.
- B. Use over-the-counter nose drops to clear passages.
- C. Remove nasal secretions with a bulb syringe.
- D. Instill saline nose drops after clearing away secretions.
Correct Answer: C
Rationale: The nasal passages can be cleared by instilling a few drops of saline into the nose and then suctioning the secretions with a bulb syringe.
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A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.)
- A. Maintain strict bed rest.
- B. Consider age.
- C. Assess developmental level.
- D. Implement light play activities.
- E. Provide hypnotic medication as ordered.
Correct Answer: B,C,D
Rationale: Confinement to bed for a child does not always result in physical rest. In pediatrics, 'bed rest' means providing play therapy that promotes minimal activity.
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.
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.
What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?
- A. Fine crackles
- B. Coarse rhonchi
- C. Expiratory wheezing
- D. Decreased breath sounds at lung bases
Correct Answer: C
Rationale: The child experiencing an acute asthma attack wheezes as air moves in and out of the narrowed airways. The expiratory wheeze is most pronounced.
The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply.)
- A. Swimming
- B. Gymnastics
- C. Baseball
- D. Cross-country skiing
- E. Distance running
Correct Answer: A,B,C
Rationale: Sports that require bursts of energy rather than long-term output of energy are suitable pursuits for asthmatics.