Nokea
The clinic nurse provides home care instructions to a mother regarding the care of her child who is diagnosed with croup. Which statement by the mother indicates the need for further instructions?
- A. I will give Tylenol for the fever.
- B. I will give cough syrup every night at bedtime.
- C. Sips of warm fluids during a croup attack will help.
- D. I will place a cool-mist humidifier next to my child's bed.
Correct Answer: B
Rationale: The mother needs to be instructed that cough syrup and cold medicines should not be administered because they may dry and thicken secretions, worsening croup symptoms. Acetaminophen (Tylenol) is appropriate for reducing fever. Sips of warm fluids help relax the vocal cords and thin mucus. A cool-mist humidifier is recommended to keep the air moist and reduce airway irritation.
You may also like to solve these questions
The nurse has completed instructions regarding diet and fluid restriction for the client diagnosed with chronic kidney disease. The nurse determines that the client understands the information presented if the client selected which dessert from the dietary menu?
- A. Jell-O
- B. Sherbet
- C. Ice cream
- D. Angel food cake
Correct Answer: D
Rationale: For fluid-restricted diets in chronic kidney disease, clients should avoid foods liquid at room temperature like Jell-O, sherbet, and ice cream, which count as fluid intake. Angel food cake is a solid dessert, allowing more fluid intake by drinking to alleviate thirst.
The nurse is precepting a student nurse on the medical-surgical unit who is caring for a client with a T-tube. Which statement by the student nurse regarding the care of the tube indicates a need for further teaching?
- A. I should report a sudden increase in bile output.
- B. The client should be in a semi-Fowler's position to promote drainage.
- C. The drainage system should be kept below the level of the gallbladder.
- D. I will clamp the tube if the client becomes nauseated or begins to vomit.
Correct Answer: D
Rationale: Clamping the T-tube during nausea or vomiting risks pressure buildup; it should be reported instead. Other statements are correct.
The nurse has taught the client with pleurisy about measures to promote comfort during recuperation. The nurse determines that the client has understood the information if the client states the need to follow which instruction?
- A. Try to take only small, shallow breaths.
- B. Take as much pain medication as possible.
- C. Lie on the affected side as much as possible.
- D. Splint the chest wall during coughing and deep breathing.
Correct Answer: D
Rationale: The client with pleurisy should splint the chest wall during coughing and deep breathing. Taking small, shallow breaths promotes atelectasis. The client should take medication cautiously so that adequate coughing and deep breathing are performed and an adequate level of comfort is maintained. The client may also lie on the affected side to minimize the movement of the affected chest wall.
To promote self-care, the nurse is planning to teach a client in skeletal leg traction about measures to increase bed mobility. Which item is most helpful for this client for achievement of this goal?
- A. Fracture bedpan
- B. Overhead trapeze
- C. Isometric exercises
- D. Range-of-motion exercises
Correct Answer: B
Rationale: The use of an overhead trapeze is extremely helpful for assisting a client with moving about in bed and getting on and off the bedpan. This device has the greatest value for increasing overall bed mobility. A fracture bedpan is useful for reducing discomfort with elimination. Isometric exercises will not increase bed mobility and could be harmful for a client in skeletal traction. Range-of-motion exercises can also be harmful to a client in skeletal traction and should not be initiated unless there are specific prescriptions to do so.
The nurse has provided instructions to a new mother with a urinary tract infection regarding foods and fluids to consume that will acidify the urine. The nurse determines that further teaching is needed if the mother indicates that which fluid will acidify the urine?
- A. Prune juice
- B. Apricot juice
- C. Cranberry juice
- D. Carbonated drinks
Correct Answer: D
Rationale: Acidification of the urine inhibits the multiplication of bacteria. Carbonated drinks should be avoided because they increase urine alkalinity. Fluids that acidify the urine include prune, apricot, and cranberry juice.