A client’s mother is concerned about her child’s recurring tonsillitis.
She asks the nurse why her child keeps getting tonsillitis.
Which of the following responses by the nurse would be most appropriate?
“Your child’s tonsils are probably too large.”.
“Your child must be exposed to a lot of dust and irritants.”.
“Your child’s immune system might be deficient, making them more susceptible to infections.”.
“Your child must not be washing their hands properly.”..
The Correct Answer is C
Choice A rationale:
Enlarged tonsils might contribute to recurrent tonsillitis, but it is not the primary cause.
Choice B rationale:
Dust and irritants can irritate the throat, but they are not the main reason for recurring tonsillitis.
Choice C rationale:
Your child’s immune system might be deficient, making them more susceptible to infections.
This response is appropriate because a weakened immune system can make a child more prone to recurrent infections, including tonsillitis.
Choice D rationale:
Improper handwashing can lead to various infections, but it is not specifically linked to tonsillitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement uses fear as a tactic to encourage the child to drink fluids, which is not a supportive or therapeutic approach.
It may create anxiety and resistance in the child, making them less likely to cooperate.
Choice B rationale:
This statement provides a positive and encouraging approach by explaining the benefits of drinking fluids.
It educates the child about the importance of hydration in feeling better faster, which can motivate them to cooperate with the nurse's recommendations.
Choice C rationale:
Threatening the child with an injection may create fear and distress, potentially worsening the child's refusal to drink fluids.
This approach is not conducive to building trust and cooperation with the child.
Choice D rationale:
Using threats related to discharge or privileges may cause stress and anxiety in the child.
It is important to maintain a supportive and reassuring approach to promote cooperation and comfort in the child.
Correct Answer is C
Explanation
Choice A rationale:
Encouraging the child to drink plenty of fluids is a suitable response by the mother.
Staying hydrated is essential to prevent dehydration, especially when the child has difficulty swallowing due to swollen tonsils.
Adequate fluid intake can also soothe the throat and help in the recovery process.
Choice B rationale:
Providing warm soup to soothe the throat is a suitable response.
Warm, soothing liquids can help alleviate throat discomfort and make swallowing easier.
It is a common home remedy for managing sore throat symptoms.
Choice C rationale:
This choice is correct because encouraging the child to cough to clear the throat is not appropriate.
Coughing can irritate the already inflamed tonsils and worsen the sore throat.
Instead, the child should be advised to avoid coughing forcefully, which can aggravate the pain.
Choice D rationale:
Giving the child over-the-counter pain medication as directed is a suitable response.
Over-the-counter pain relievers like acetaminophen or ibuprofen can help reduce pain and fever associated with tonsillitis.
However, it's important to use these medications as directed by a healthcare professional or following the recommended dosage instructions, especially in children.
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