A nurse is caring for a younger child with otitis media. The parents ask the nurse why children seem to get otitis media frequently, but adults do not. Which statement about the physiological differences between young children and adults would the nurse provide?

The eustachian tube is longer, wider, and more vertical in younger children

The eustachian tube is longer, narrower, and more vertical in younger children

The eustachian tube is shorter, wider, and more horizontal in younger children

The eustachian tube is shorter, narrower, and more horizontal in younger children

Answer and Explanation

The Correct Answer is C

a) The eustachian tube is longer, wider, and more vertical in younger children: Inaccurate; a more vertical tube might be less prone to drainage issues.

b) The eustachian tube is longer, narrower, and more vertical in younger children: The opposite configuration of the pediatric eustachian tube.

c) The eustachian tube is shorter, wider, and more horizontal in younger children: The anatomy of the pediatric eustachian tube predisposes children to ear infections due to poor drainage and ventilation.

d) The eustachian tube is shorter, narrower, and more horizontal in younger children: Inaccurate; this configuration is less prone to issues related to otitis media.

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Correct Answer is C

Explanation

a) A large bore needle with Heimlich valve for needle aspiration: Not typically used in the management of diaphragmatic hernia.

b) A chest tube set up: While useful in other situations, it may not be the immediate priority in managing diaphragmatic hernia.

c) Intubation setup: Essential for respiratory support in newborns with diaphragmatic hernia, as it helps manage respiratory distress.

d) Appropriate self-inflating bag and correct mask size: Important for neonatal resuscitation but doesn’t specifically address the respiratory challenges associated with diaphragmatic hernia.

A. Ineffective tissue perfusion B. Risk for infection C. Risk for fluid volume deficit D. Ineffective thermoregulation

Correct Answer is B

Explanation

a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.

b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.

c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.

d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.

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A nurse is caring for a younger child with otitis media. The parents ask the nurse why children seem to get otitis media frequently, but adults do not. Which statement about the physiological differences between young children and adults would the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

Correct Answer is C

Explanation

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

Correct Answer is B

Explanation

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