A nurse in the emergency department is caring for a toddler.
Complete the following sentence by using the list of options.
The nurse should first
The Correct Answer is {"dropdown-group-1":"B"}
The nurse should first: b. Keep the child NPO.
Rationale:
In this scenario, the child may have ingested a battery, which can cause serious complications such as chemical burns if it gets stuck in the esophagus. Keeping the child NPO (nothing by mouth) helps prevent further movement of the battery and reduces the risk of complications.
Other responses:
a. Obtain informed consent: While obtaining informed consent may be necessary for certain diagnostic or treatment procedures, the immediate priority is to ensure the child's safety and prevent complications from the suspected battery ingestion.
c. Teach the child's parents the importance of inspecting the child's play area: While this is an important aspect of preventing accidents, it is not the immediate priority when the child is at risk of battery ingestion. Ensuring the child's safety and preventing further harm take precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Soak combs and brushes in boiling water for 10 min. Incorrect. While cleaning items is important, soaking combs and brushes in boiling water is more relevant to head lice, not scabies. Scabies mites live on skin and are unlikely to infest combs and brushes.
B. Treat everyone who came into close contact with the child. Correct. Scabies is highly contagious and spreads through close personal contact. All household members and close contacts should be treated simultaneously to prevent reinfestation.
C. Apply petroleum jelly to the affected areas. Incorrect. The treatment for scabies involves prescription scabicides (such as permethrin cream), not petroleum jelly.
D. Wash the child's hair with shampoo containing ketoconazole. Incorrect. Ketoconazole shampoo is used for fungal infections like dandruff or seborrheic dermatitis, not scabies.
Correct Answer is C
Explanation
a. Mix the medication with the child's favorite food. Mixing medication with a child’s favorite food can be risky as it may alter the taste of the food and cause the child to develop an aversion to that food. Additionally, if the child does not consume the entire portion, they may not receive the full dose of medication.
b. Dilute the medication with 8 oz of water. Diluting medication in a large volume of water is not advisable for a preschooler as it may be difficult for them to drink the entire amount, leading to an incomplete dose. It can also dilute the medication to the point where its efficacy is reduced.
c. Provide an ice pop after administering the medication. Offering an ice pop after administering the medication is a positive reinforcement technique. The ice pop can also help numb the taste buds, reducing the aftertaste of the medication, making it more acceptable for the child.
d. Give 4 oz of milk with the medication.Giving milk with medication is not generally recommended as it can interfere with the absorption of some medications. Additionally, if the medication tastes unpleasant, the child might refuse to drink the milk as well.
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