A 3-year-old with bacterial pneumonia is crying and says it hurts when he coughs. The nurse would teach the child to do which of the following?
Hug his teddy bear when he coughs
Blow bubbles to prevent coughing episodes
Take a sip of apple juice before coughing
Ask for codeine cough syrup when he coughs
The Correct Answer is A
a) Hug his teddy bear when he coughs: Splinting the chest while coughing can reduce discomfort.
b) Blow bubbles to prevent coughing episodes: Not effective for reducing cough-induced pain.
c) Take a sip of apple juice before coughing: Drinking before coughing may not significantly alleviate the discomfort.
d) Ask for codeine cough syrup when he coughs: Medication should be given based on medical advice and prescription, not as a self-request by a child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Rationalization: Involves creating logical explanations to justify behaviors or situations, not necessarily linked to thumb-sucking after surgery.
b) Regression: This is a defense mechanism where individuals revert to an earlier stage of development when faced with stress or discomfort, such as thumb-sucking, bed-wetting, or clinging behavior.
c) Repression: Involves unconsciously blocking disturbing thoughts or feelings, not typically exhibited through thumb-sucking post-surgery.
d) Fantasy: Involves the use of imagination or daydreaming, not directly related to the observed behavior of thumb-sucking after surgery.
Correct Answer is C
Explanation
a) Hypothermia related to decreased metabolic state: Unlikely to be directly related to VSD unless it's causing severe complications affecting metabolic function.
b) Acute pain related to the effects of a congenital heart defect: While the child might experience pain due to surgery or interventions, it's not the primary nursing diagnosis for VSD.
c) Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect: VSD causes increased workload on the heart, leading to decreased oxygenation and potentially causing cyanosis and ineffective tissue perfusion.
d) Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow: While pulmonary congestion can occur, ineffective tissue perfusion is more directly related to cyanosis from VSD.
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