A 2-year-old patient has been diagnosed with acute bronchiolitis. In the home instructions, the nurse practitioner specifies that the child:
should stay home from daycare for 7 days.
should be given antipyretics every 4 hours for the next 5 days.
will be free of acute symptoms within 1 to 3 days, and complete resolution of symptoms should occur within 10-14 days.
should be given an antibiotic if the nasal discharge becomes purulent.
The Correct Answer is C
Rationale:
A. Isolation from daycare is generally recommended while the child is symptomatic to prevent transmission, but a fixed 7-day period is not always necessary; symptom resolution varies.
B. Antipyretics should be given as needed for fever or discomfort, not routinely every 4 hours for multiple days.
C. Acute bronchiolitis typically presents with symptoms that peak within 1–3 days, with gradual improvement. Most children experience complete resolution within 10–14 days, which is important for caregivers to understand to prevent unnecessary concern or overuse of medications.
D. Antibiotics are not indicated for viral bronchiolitis, even if nasal discharge becomes purulent, as the infection is viral and antibiotics are ineffective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Klinefelter syndrome affects males and is characterized by tall stature, small testes, and hypogonadism, not delayed female puberty.
B. Turner syndrome affects females and is associated with short stature (often below the third percentile), gonadal dysgenesis, and delayed or absent puberty. It is a common cause of primary amenorrhea in adolescent girls.
C. Anorexia can cause delayed puberty due to low body weight, but the hallmark of Turner syndrome is short stature from birth.
D. Obesity is more commonly associated with earlier puberty rather than delayed puberty in females.
Correct Answer is B
Explanation
Rationale:
A. A bulb syringe delivers low pressure and is less effective for thoroughly cleansing an open wound, especially if debris is present.
B. A 20-mL catheter tip syringe allows controlled irrigation with sufficient pressure (approximately 8 psi) to effectively remove debris and contaminants without damaging healthy tissue. This is considered the standard method for wound irrigation.
C. Using an IV bag without pressure may not provide adequate force to flush out debris and contaminants.
D. Gauze compresses can clean the wound surface but do not provide the irrigation pressure necessary for thorough cleansing.
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