Nokea
The nurse describes the 'allergic salute' as a cluster of what signs related to chronic allergy? (Select all that apply.)
- A. Mouth breathing
- B. Transverse nasal crease
- C. Dark circles under the eyes
- D. Productive cough
- E. Reddened conjunctiva
Correct Answer: A,B,C,E
Rationale: The allergic salute does not include a productive cough.
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What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?
- A. A popsicle
- B. Chocolate milk
- C. Orange juice
- D. Cola drink
Correct Answer: A
Rationale: Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural juices. A popsicle is usually well-tolerated.
The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.)
- A. Abdominal distention
- B. Vomiting
- C. Hiccoughing
- D. Jaundice
- E. Absence of stool
Correct Answer: A,B,E
Rationale: Distended abdomen, vomiting, and absence of stool are the signs indicating meconium ileus in the newborn.
What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?
- A. Before exercise to prevent attacks
- B. At the initial onset of the attack
- C. During the attack to relieve symptoms
- D. As often as 4 times a day
Correct Answer: A
Rationale: Anti-inflammatory inhalants are taken before exercise to prevent attacks.
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 is caring for a 4-year-old child diagnosed with H. influenzae type B. Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply.)
- A. Harsh cough
- B. Restlessness
- C. Edematous epiglottis
- D. Child insists on lying down
- E. Drooling
Correct Answer: B,C,E
Rationale: The child with epiglottitis insists on sitting up, leans forward with the mouth open, and drools saliva because of the difficulty in swallowing.