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What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
- A. Stuffed toys
- B. Pet ownership
- C. Gymnastics
- D. Basketball
- E. Cotton blankets
Correct Answer: A,B,D
Rationale: Stuffed toys and pet ownership can trigger asthma due to allergens, and basketball requires prolonged energy output, which may exacerbate symptoms.
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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.
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 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.
How would the nurse advise a mother to clear the nostrils when her infant has a cold?
- A. Clear the nasal passages after the infant has a feeding.
- B. Use over-the-counter nose drops to clear passages.
- C. Remove nasal secretions with a bulb syringe.
- D. Instill saline nose drops after clearing away secretions.
Correct Answer: C
Rationale: The nasal passages can be cleared by instilling a few drops of saline into the nose and then suctioning the secretions with a bulb syringe.
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.