A nurse is developing a care plan for a child with tonsillitis.
Which of the following interventions should be included in the plan? (Select all that apply).
Encourage the child to participate in strenuous physical activities.
Provide pain relief measures, such as acetaminophen or ibuprofen, as prescribed.
Offer cool or warm liquids and soft foods to soothe the throat.
Educate the child and family about the importance of completing prescribed antibiotic therapy.
Discourage rest and promote active play to distract from discomfort.
Correct Answer : B,C,D
Choice A rationale: Encouraging the child to participate in strenuous physical activities is not appropriate for a child with tonsillitis. Strenuous activities can exacerbate symptoms and delay recovery. Rest is important to help the child’s body fight the infection and recover more quickly. Therefore, it is not recommended to promote strenuous physical activities during illness.
Choice B rationale: Providing pain relief measures, such as acetaminophen or ibuprofen, as prescribed, is important for managing the symptoms of tonsillitis. These medications can help reduce pain and fever, making the child more comfortable. Proper pain management is essential to ensure the child's comfort and facilitate recovery.
Choice C rationale: Offering cool or warm liquids and soft foods can help soothe a sore throat, which is a common symptom of tonsillitis. Cool liquids can help reduce throat swelling and irritation, while warm liquids can provide comfort. Soft foods are easier to swallow and less likely to irritate the inflamed throat. This dietary modification can help manage symptoms and promote recovery.
Choice D rationale: Educating the child and family about the importance of completing prescribed antibiotic therapy is crucial in the treatment of bacterial tonsillitis. Completing the full course of antibiotics ensures that the infection is fully eradicated and helps prevent the development of antibiotic-resistant bacteria. This education can lead to better adherence to the treatment regimen and more effective management of the condition.
Choice E rationale: Discouraging rest and promoting active play is not suitable for a child with tonsillitis. Rest is essential for recovery as it helps the body conserve energy to fight the infection. Active play can increase discomfort and fatigue, delaying recovery. Therefore, encouraging rest and avoiding strenuous activities is important for managing tonsillitis effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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