A child diagnosed with allergic rhinitis is rubbing his nose upward and backward. Which response is the child exhibiting?

The child is trying to relieve the itching and open the air passages.

The child is attempting to draw attention to his/her nose.

The child has a nasal discharge and is trying to keep his nose from running.

The child is concerned that he is going to sneeze and is trying to stop the sneeze.

Answer and Explanation

The Correct Answer is A

Choice A reason: Rubbing the nose upward and backward, known as the "allergic salute," is a common response in allergic rhinitis to relieve nasal itching and congestion. This action temporarily opens air passages and alleviates discomfort, aligning with pediatric allergy evidence, making it the correct explanation for the child’s behavior observed in clinical settings.

Choice B reason: Drawing attention to the nose is not a typical response in allergic rhinitis. The "allergic salute" is a reflexive action to relieve itching and congestion, not a deliberate attempt to gain attention. This choice misinterprets the physiological basis of the behavior, making it incorrect for the child’s action in the context of allergic rhinitis symptoms.

Choice C reason: Nasal discharge may occur in allergic rhinitis, but rubbing upward and backward aims to relieve itching and open airways, not prevent discharge. This action is not primarily about controlling runny nose, making this choice less accurate compared to addressing the itching and congestion relief central to the child’s behavior.

Choice D reason: Preventing a sneeze is not the purpose of the "allergic salute." Rubbing the nose upward and backward relieves itching and congestion, common in allergic rhinitis. Sneezing is a separate reflex, and this action does not address it, making this incorrect for the child’s observed behavior in the context of allergy symptoms.

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Correct Answer is C

Explanation

Choice A reason: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.

Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.

Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.

Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.

A. “Remove all equipment related to the procedure from the child’s environment.” B. “Handle all contaminated linens in accordance with the facility policies.” C. “Assess to ensure that the side rails are up and the bed is lowered to the floor.” D. “Document the procedure and the response of the child as soon as the procedure is completed.”

Correct Answer is C

Explanation

Choice A reason: Removing equipment reduces clutter but is less urgent than preventing falls, especially post-procedure when a child may be disoriented. Ensuring side rails and a low bed prioritizes safety, making this secondary and incorrect for the most immediate action in pediatric post-procedure care.

Choice B reason: Handling contaminated linens follows infection control but is not the immediate safety concern post-procedure. Preventing falls with side rails and a low bed is critical, making this less urgent and incorrect compared to the priority of ensuring the child’s physical safety after the procedure.

Choice C reason: Assessing side rails up and bed lowered prevents falls, the most immediate safety risk post-procedure when a child may be sedated or unsteady. This aligns with pediatric safety protocols, making it the correct statement for the most urgent action in post-procedure interventions.

Choice D reason: Documentation is essential but not immediate compared to fall prevention, which protects the child post-procedure. Side rails and bed positioning take precedence, making this subsequent and incorrect for the most urgent safety action required after a pediatric procedure in the hospital.

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A child diagnosed with allergic rhinitis is rubbing his nose upward and backward. Which response is the child exhibiting?

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