Nokea
The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include?
- A. Wrapping the infant snugly for rest periods
- B. Positioning the infant prone for sleep
- C. Sitting the infant up in an infant seat
- D. Placing infants on their backs or sides for sleep
Correct Answer: D
Rationale: The American Academy of Pediatrics recommends that all healthy infants be placed in the supine or side-lying position on a firm mattress to prevent SIDS.
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The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent?
- A. Discoloration of tooth enamel
- B. Halitosis
- C. Irritation of oral membranes
- D. Candidiasis
Correct Answer: D
Rationale: Inhalant powders can cause candidiasis (yeast) infection of the mouth.
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.
The school nurse suspects a first-grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.)
- A. Child reports tooth pain.
- B. Severe wheezing is auscultated on inspiration.
- C. Child reports, 'I have had a cold for 2 weeks.'
- D. Nurse observes periorbital swelling.
- E. Halitosis is present.
Correct Answer: A,C,D,E
Rationale: The proximity of the sinus to the tooth roots often results in tooth pain when the sinus is infected.
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.
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.