A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

Make her lie down and rest quietly

Examine her oral pharynx and report to the physician

Auscultate her lungs and prepare for placement in a warm mist tent

Defer an oral assessment and be prepared to assist with a tracheostomy or intubation

Answer and Explanation

The Correct Answer is D

a) Make her lie down and rest quietly: Inappropriate as the symptoms suggest potential airway obstruction.

b) Examine her oral pharynx and report to the physician: Important action, but immediate airway management is the priority.

c) Auscultate her lungs and prepare for placement in a warm mist tent: Less critical than ensuring an open airway.

d) Defer an oral assessment and be prepared to assist with a tracheostomy or intubation: The child's symptoms (stridor, agitation, drooling) indicate potential upper airway obstruction, and immediate readiness for airway intervention is essential.

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Correct Answer is D

Explanation

a) Handwashing is the most important factor in reducing the spread of the virus: Correct, hand hygiene is crucial in preventing the transmission of Hepatitis A.

b) We understand that early treatments with gamma-globulins can help our child: Correct, gamma-globulin treatment can offer passive immunity.

c) We will clean contaminated surfaces with bleach: Correct, using bleach is effective in disinfecting contaminated surfaces.

d) We should feed our child a high-fat diet: Hepatitis A does not require a high-fat diet. In fact, a low-fat diet is often recommended during the acute phase of the illness to reduce stress on the liver. This statement indicates a need for further education.

A. Pain B. Joint inflammation C. Altered growth D. Swelling E. Decreased mobility

Correct Answer is ["A","B","D","E"]

Explanation

a) Pain: Children with juvenile arthritis often experience joint pain.

b) Joint inflammation: Inflammation of the joints is a hallmark of juvenile arthritis.

c) Altered growth: Growth alterations might occur in some cases but are not universal findings.

d) Swelling: Joint swelling commonly occurs in juvenile arthritis.

e) Decreased mobility: Reduced range of motion or decreased ability to move joints due to inflammation is typical in juvenile arthritis.

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A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching the parents of a child diagnosed with Hepatitis A about care and prevention of transmission. Which of the following statements by the parents indicate more education is needed?

Correct Answer is D

Explanation

A child presents to the ER with anemia and leukocytosis. The physician suspects juvenile arthritis. What other physical findings will the nurse assess that relate to diagnosis? SATA

Correct Answer is ["A","B","D","E"]

Explanation

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