Nokea
What is a key intervention for a child with a new diagnosis of asthma?
- A. Provide a peak flow meter
- B. Limit all physical activity
- C. Increase dairy consumption
- D. Recommend frequent use of nasal decongestants
Correct Answer: A
Rationale: The correct answer is A: Provide a peak flow meter. Providing a peak flow meter is crucial for a child with a new diagnosis of asthma as it helps monitor asthma control and manage symptoms by tracking changes in airflow. This device assists in assessing how well the lungs are functioning and guides treatment decisions. Limiting all physical activity (choice B) is not recommended as regular exercise can actually help improve lung function in asthmatic children. Increasing dairy consumption (choice C) is not a key intervention for asthma, and recommending frequent use of nasal decongestants (choice D) is not suitable for asthma management in children.
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How should a healthcare provider handle a child with a suspected head injury who is showing signs of drowsiness?
- A. Administer pain medication
- B. Perform a full neurological assessment
- C. Allow the child to sleep
- D. Contact a specialist immediately
Correct Answer: B
Rationale: When a child with a suspected head injury is showing signs of drowsiness, administering pain medication should not be the first course of action as it may mask important symptoms. Allowing the child to sleep is not recommended as they need to be monitored. Contacting a specialist immediately may delay necessary assessments. Performing a full neurological assessment is the most appropriate action because it helps evaluate the head injury's extent, identify neurological deficits, and guide further intervention or treatment.
Why must a child with acute laryngotracheobronchitis be kept NPO?
- A. The epinephrine administration may cause nausea and vomiting
- B. The child is being hydrated with IV fluids
- C. The child may not feel hungry
- D. Rapid respirations pose a risk for aspiration
Correct Answer: D
Rationale: In acute laryngotracheobronchitis, rapid respirations increase the risk of aspiration due to compromised airway protection and potential for secretions to enter the lungs. Keeping the child NPO helps prevent the risk of aspiration pneumonia. Choice A is incorrect because epinephrine is not typically used for laryngotracheobronchitis. Choice B is incorrect as hydration with IV fluids does not eliminate the risk of aspiration. Choice C is also incorrect because the child being hungry is not the primary reason for keeping them NPO in this condition.
What is the primary goal in managing a child with cystic fibrosis?
- A. Increase dietary fat intake
- B. Prevent lung infections
- C. Increase physical activity
- D. Ensure high protein intake
Correct Answer: B
Rationale: The primary goal in managing a child with cystic fibrosis is to prevent lung infections. Cystic fibrosis primarily affects the respiratory system, leading to thick mucus buildup in the lungs, which increases the risk of infections. Preventing lung infections through proper respiratory care, medications, airway clearance techniques, and vaccinations is crucial in managing cystic fibrosis. While dietary interventions like increasing dietary fat intake, ensuring high protein intake, and promoting physical activity are also important aspects of cystic fibrosis management, preventing lung infections takes precedence as it directly addresses a major complication of the condition.
How should a healthcare provider approach the care of a child with a suspected fracture?
- A. Immobilize the affected limb and seek medical evaluation
- B. Apply heat to the injury
- C. Allow the child to continue normal activity
- D. Administer over-the-counter pain relief only
Correct Answer: A
Rationale: When a child is suspected to have a fracture, it is essential to immobilize the affected limb to prevent further injury. Seeking immediate medical evaluation is crucial for an accurate diagnosis and appropriate treatment. Applying heat to a suspected fracture can worsen the condition by increasing swelling and pain. Allowing the child to continue normal activity can lead to further damage. Administering only over-the-counter pain relief is insufficient and does not address the need for immobilization and professional evaluation.
What is a key aspect of care for a child with an indwelling urinary catheter?
- A. Increase fluid intake
- B. Monitor for signs of infection
- C. Restrict mobility
- D. Administer daily antibiotics
Correct Answer: B
Rationale: Monitoring for signs of infection is crucial when caring for a child with an indwelling urinary catheter. This is because catheter-associated urinary tract infections are common in such cases. Increasing fluid intake can be beneficial, but monitoring for infection takes precedence as it is crucial to prevent complications. Restricting mobility is not a key aspect of care for a child with an indwelling urinary catheter unless specifically advised by a healthcare provider. Administering daily antibiotics without proper assessment and indication can lead to antibiotic resistance and is not a standard practice in caring for a child with an indwelling urinary catheter.