A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following parent statements indicate understanding of the teaching?
"My child will be awake for this procedure."
"I can take my child home as soon as the procedure is over."
"The provider will remove the object during this procedure."
"After this procedure, I have to wait 48 hours before I can give my child solid foods."
The Correct Answer is C
A. "My child will be awake for this procedure.": Incorrect because the child will be under sedation or anesthesia for safety and to prevent distress.
B. "I can take my child home as soon as the procedure is over.": Incorrect because the child must be monitored post-procedure for complications like airway swelling or sedation effects.
C. "The provider will remove the object during this procedure." A bronchoscopy allows visualization and removal of foreign objects from the airway, which is the purpose of the procedure.
D. "After this procedure, I have to wait 48 hours before I can give my child solid foods.": Incorrect because eating is typically resumed after the child recovers from sedation and demonstrates a safe swallow reflex.
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Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"}}
Explanation
Cough
- Hypertrophic Pyloric Stenosis: Pyloric stenosis typically causes forceful vomiting but does not cause coughing.
- Gastroesophageal Reflux: Coughing can occur due to aspiration or irritation of the esophagus.
Recurrent Emesis
- Hypertrophic Pyloric Stenosis: Projectile vomiting after feedings is a hallmark sign of pyloric stenosis.
- Gastroesophageal Reflux: GER can also cause recurrent vomiting, though it is usually less forceful than in pyloric stenosis.
Inadequate Weight Gain
- Hypertrophic Pyloric Stenosis: The inability to retain feedings can lead to poor weight gain.
- Gastroesophageal Reflux: Reflux can also result in poor weight gain if feedings are frequently vomited.
Irritability
- Hypertrophic Pyloric Stenosis: Hunger due to inadequate feeding can cause irritability.
- Gastroesophageal Reflux: Discomfort from esophageal irritation can lead to irritability.
Correct Answer is D
Explanation
A. "Chill the medication prior to administration." The medication should be warmed to room temperature to prevent discomfort or dizziness during administration.
B. "Pull the pinna up and back during medication administration." For infants, the pinna should be pulled down and back to straighten the ear canal.
C. "Hyperextend the infant's neck during medication administration." Hyperextending the neck is unnecessary and may cause discomfort; a neutral position is sufficient.
D. "Massage the anterior area of the ear following administration." Massaging the tragus helps ensure the medication is evenly distributed into the ear canal.
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