Nokea
What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?
- A. Acetaminophen and plenty of fluids
- B. Oral penicillin for 10 days
- C. Penicillin until his sore throat is gone
- D. Streptococcus immunization
Correct Answer: B
Rationale: When a throat culture is positive for group A beta-hemolytic streptococcus, penicillin is administered for 10 days even if symptoms are alleviated before the medication is finished.
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After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for __ months.
Correct Answer: 9
Rationale: Antiviral medications for RSV can interfere with the immune response to vaccinations, requiring a 9-month delay.
The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. What is the nurse's best response based on the understanding of CF?
- A. Only one parent carries the CF gene.
- B. Both parents are carriers of the CF gene.
- C. The inheritance pattern is multifactorial.
- D. The result is probably a genetic mutation.
Correct Answer: B
Rationale: Cystic fibrosis is an inherited disease. Both parents must be carriers of the CF gene for the child to have the disease.
What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
- A. Offer plenty of fluids, particularly carbonated beverages.
- B. Place the child in a humidified cool mist tent with oxygen.
- C. Administer sedatives as ordered to decrease anxiety.
- D. Position the child with arms resting on the overbed table.
Correct Answer: D
Rationale: This position is comfortable and allows maximum use of the accessory muscles for breathing.
What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?
- A. Pancreatic enzymes
- B. Water-soluble minerals
- C. Fat-soluble vitamins
- D. Salt supplements
Correct Answer: A
Rationale: An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce.
The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate?
- A. Bleeding from the surgical site
- B. Pain at the incision area
- C. Sore throat from postnasal drip
- D. Potential vomiting
Correct Answer: A
Rationale: Hemorrhage is the most common postoperative complication. Blood trickling down the back of the child's throat could cause frequent swallowing.