A nurse has completed a teaching session for parents about “baby/child-proofing” the home. Which statements made by the parents indicate an understanding of the teaching (Select All That Apply)?

“We will keep our household hot water heater at 130 degrees.”

“We will place poisonous substances in a high cupboard.”

“We will place a gate at the top and bottom of stairways.”

“We will put plastic fillers in all electrical plugs.”

“We will turn handles of pans on the stove toward the back of the stove.”

Answer and Explanation

Correct Answer : B,C,D,E

A. “We will keep our household hot water heater at 130 degrees.”

The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.

B. “We will place poisonous substances in a high cupboard.”

Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.

C. “We will place a gate at the top and bottom of stairways.”

Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.

D. “We will put plastic fillers in all electrical plugs.”

Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.

E. “We will turn handles of pans on the stove toward the back of the stove.”

Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.

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Correct Answer is A

Explanation

A. Pertussis:

Pertussis, commonly known as whooping cough, is caused by the bacterium Bordetella pertussis. It is characterized by a persistent cough with a distinctive "whoop" sound during the inspiratory phase. The cough can be severe and may last for several weeks. The characteristic whooping sound is due to the rapid intake of breath after a coughing episode.

B. Asthma:

Asthma is a chronic respiratory condition characterized by recurrent episodes of wheezing, coughing, and shortness of breath. It is not typically associated with a whooping sound during the inspiratory phase. Asthma symptoms are often triggered by factors such as allergies, exercise, or exposure to irritants.

C. Bronchiolitis:

Bronchiolitis is commonly caused by respiratory syncytial virus (RSV), especially in infants. It presents with symptoms such as cough, wheezing, and respiratory distress. However, it does not involve the characteristic whooping cough sound seen in pertussis.

D. Acute Laryngotracheobronchitis (LTB):

Acute Laryngotracheobronchitis, or croup, is characterized by a barking cough, stridor (a high-pitched sound during inhalation), and respiratory distress. It is common in young children and is often caused by viruses. Unlike pertussis, it does not typically include the distinctive whooping sound.

A. Teaching the child to take long, slow breaths B. Assisting with racemic epinephrine nebulizer therapy C. Administering an oral analgesic D. Administering a corticosteroid

Correct Answer is B

Explanation

A. Teaching the child to take long, slow breaths:

While teaching slow breathing techniques can be helpful in managing anxiety and promoting a sense of calm, it may not directly address the underlying airway inflammation and bronchodilation needed in acute laryngotracheobronchitis.

B. Assisting with racemic epinephrine nebulizer therapy:

Racemic epinephrine is a medication that contains epinephrine, a bronchodilator. Nebulizer therapy with racemic epinephrine helps reduce airway inflammation, allowing for bronchodilation and improved breathing. This is a common intervention for managing acute respiratory distress in conditions like croup.

C. Administering an oral analgesic:

Oral analgesics, such as pain medications, can provide relief from discomfort or pain, but they do not directly address the bronchodilation needed for conditions like acute laryngotracheobronchitis.

D. Administering a corticosteroid:

Corticosteroids have anti-inflammatory properties and can help reduce swelling and inflammation in the airways. By doing so, they contribute to bronchodilation and improved breathing in conditions like croup. Corticosteroids are often used as part of the treatment plan for acute laryngotracheobronchitis.

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A nurse has completed a teaching session for parents about “baby/child-proofing” the home. Which statements made by the parents indicate an understanding of the teaching (Select All That Apply)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?

Correct Answer is A

Explanation

The nurse is caring for a toddler with acute laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

Correct Answer is B

Explanation

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