A 5-year old is brought to the ED with a temperature of 99°F (37.5°C), a barky cough, stridor and hoarseness. Which nursing intervention should the nurse prepare for?

Informing the child's parents about a tonsillectomy.

Immediate IV placement.

A tracheostomy set at the bedside.

Cool mist and respiratory treatment of racemic epinephrine

Answer and Explanation

The Correct Answer is D

A. Informing the child's parents about a tonsillectomy:

Tonsillectomy is not the immediate intervention for the symptoms described. This intervention is not necessary at this point.

B. Immediate IV placement:

While hydration may be necessary, immediate IV placement is not the primary intervention for a child with croup presenting with stridor and hoarseness.

C. A tracheostomy set at the bedside:

While croup can cause airway obstruction, preparing for a tracheostomy is not the initial intervention. Less invasive measures are typically attempted first.

D. Cool mist and respiratory treatment of racemic epinephrine:

This is the correct intervention. Croup, often caused by viral infections, can result in swelling of the upper airway, leading to the characteristic barky cough, stridor, and hoarseness. Administration of cool mist and racemic epinephrine can help reduce airway swelling and alleviate symptoms.

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Correct Answer is C

Explanation

A. "You should always hold your child's hand when crossing the street."

This is a critical teaching point. Holding a child's hand while crossing the street is an important safety measure to prevent accidents and ensure the child's safety.

B. "Swim lessons would be important now to ensure your child is safe around a pool."

This is also a critical teaching point. Swim lessons can be essential for water safety, especially if there is a pool in the vicinity.

C. "Medications with childproof tops are safe to keep on the counter so you remember to take them."

This statement is incorrect. Medications, even with childproof tops, should be stored out of reach of children to prevent accidental ingestion. It's important to emphasize proper medication storage.

D. "All small objects should be kept out of your child's view since he may aspirate them."

This is a valid teaching point. Small objects can pose a choking hazard, and keeping them out of a child's reach is crucial for safety.

A. Child Abuse B. a cultural practice to rid the body of disease. C. a child discipline measure common in Asian cultures. D. a cultural practice to treat temper tantrums.

Correct Answer is B

Explanation

A. Child Abuse

While the presence of welts might be concerning, it is essential for the nurse to consider cultural practices before labeling the situation as child abuse. In this case, the coin rubbing is described as a cultural practice rather than an abusive act.

B. A cultural practice to rid the body of disease.

This is the correct choice. Coin rubbing, or "coining," is a cultural practice in some traditions, including Vietnamese culture. It is believed to have therapeutic benefits and is used to address health concerns.

C. A child discipline measure common in Asian cultures.

The scenario does not provide evidence that the coin rubbing is a form of discipline. It seems to be described as a traditional health practice rather than a disciplinary measure.

D. A cultural practice to treat temper tantrums.

The scenario does not indicate that the coin rubbing is related to treating temper tantrums. It appears to be described as a health-related cultural practice rather than a disciplinary measure.

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A 5-year old is brought to the ED with a temperature of 99°F (37.5°C), a barky cough, stridor and hoarseness. Which nursing intervention should the nurse prepare for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing safety with the father of a four-year old child. Critical teaching points should include the following except:

Correct Answer is C

Explanation

The nurse discovers welts on the back of a child whose parents identify as 1st generation Vietnamese. The mother states she rubbed the edge of a coin on her child's oiled back because he had back pain. The nurse should recognize that this is:

Correct Answer is B

Explanation

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