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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.
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The nurse is caring for a 3-year-old child who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure?
- A. 2 hours
- B. 4 hours
- C. 18 hours
- D. 72 hours
Correct Answer: D
Rationale: Pulmonary edema appears in a child with smoke inhalation injury 6 to 72 hours after exposure.
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.
What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include? (Select all that apply.)
- A. Inhale deeply through nose with mouth closed.
- B. Make exhalation twice as long as inhalation.
- C. Use medicated inhaler prior to perform breathing exercise.
- D. Exhale through mouth as if whistling.
- E. Exhale forcefully.
Correct Answer: A,B,D
Rationale: The technique requires that breath be inhaled through the nose and exhaled through pursed lips in a nonforceful manner.
The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea. Which fluids are most appropriate?
- A. Room temperature water
- B. Carbonated beverages
- C. Iced fruit juice
- D. Cold milk
Correct Answer: A
Rationale: Room temperature fluids are the best. Carbonated and iced beverages increase spasm.
Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
- A. Take the child outside in the cool air.
- B. Bring the child directly to the emergency department.
- C. Take the child to the bathroom and turn on a hot shower.
- D. Have the child drink plenty of fluids.
Correct Answer: C
Rationale: The child experiencing laryngeal spasm should be placed in a high-humidity environment, such as the bathroom with a hot shower running. The humidity liquefies secretions and reduces spasm.