A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The parent becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action?
Tell the parent that the child must stay in the tent.
Call the pediatrician and obtain a prescription for a mild sedative.
Let the parent hold the child and direct the cool mist over the child's face.
Place a toy in the tent to make the child feel more comfortable.
The Correct Answer is C
A. Tell the parent that the child must stay in the tent. This lacks empathy and may increase the child’s anxiety. Forcing a frightened child to stay in the tent may worsen distress and respiratory symptoms.
B. Call the pediatrician and obtain a prescription for a mild sedative. Sedation is not a first-line intervention in a child with croup and can depress respiratory effort-potentially dangerous.
C. Let the parent hold the child and direct the cool mist over the child's face. This maintains the therapeutic effect of the mist while providing comfort and reducing distress, which helps prevent worsening of symptoms like stridor.
D. Place a toy in the tent to make the child feel more comfortable. While toys can distract, this does not address the child’s distress and desire to be held. It’s not an effective or immediate solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Intracranial bleeding: This is the most life-threatening complication of hemophilia, often from trauma. It may occur even with minor head injuries and can be fatal if not treated rapidly.
B. Hematuria: Though concerning, it is not as life-threatening as intracranial hemorrhage.
C. Hemarthrosis: Common in hemophilia, but it’s manageable and less immediately dangerous.
D. Iron deficiency anemia: Not a typical risk in hemophilia; the bleeding is due to clotting factor deficiency, not chronic blood loss.
Correct Answer is B
Explanation
A. "I do not plan to offer my baby a pacifier during naps or at bedtime.": Pacifier use during sleep is associated with a reduced risk of SIDS. Not offering it may increase risk.
B. "My baby will be placed on her back when sleeping.": Placing infants on their backs to sleep is the safest position and is strongly recommended to prevent SIDS.
C. "Our baby will sleep in my bed because I am breastfeeding.": Bed-sharing increases the risk of SIDS due to potential suffocation or overlay; room-sharing without bed-sharing is recommended.
D. "We will place an antique quilt in our baby's crib.": Soft bedding, including quilts, increases the risk of suffocation and SIDS. The crib should have a firm mattress with a fitted sheet only.
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