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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.

b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.

c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.

d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.

A. Allow the child to choose what time to take his medication B. Allow the child to help with his dressing change C. Allow the child to assist with his bath D. Allow the child to complete schoolwork

Correct Answer is D

Explanation

a) Allowing the child to choose what time to take his medication might foster responsibility but may not specifically contribute to the sense of industry.

b) Allowing the child to help with his dressing change encourages responsibility and care but may not directly impact the sense of industry.

c) Allowing the child to assist with his bath encourages independence and self-care, but completing schoolwork often involves goal-setting, effort, and accomplishment, fostering a sense of industry according to Erik Erikson's theory of psychosocial development for this age group.

d) Allowing the child to complete schoolwork fosters the development of a sense of industry. Erik Erikson, a developmental psychologist, proposed a theory of psychosocial development where he described the stage of "industry versus inferiority" occurring during middle childhood (roughly ages 6-12 years).

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?

Correct Answer is B

Explanation

The nurse for an 8-year-old is trying to encourage developmental growth. What activity can the nurse provide for the child to encourage his sense of industry?

Correct Answer is D

Explanation

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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?

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