A nurse is planning care for a child who has pertussis (whooping cough). Which of
the following interventions should be included in
the plan?

Encourage oral fluids and soft foods.

Administer antitussive medication as needed.

Provide humidified oxygen via nasal cannula.

Monitor the child for signs of respiratory distress.

Answer and Explanation

The Correct Answer is D

Choice A reason: This is not a priority intervention. The nurse should encourage oral fluids and soft foods to prevent dehydration and maintain nutrition, but this is not as important as monitoring the child for respiratory distress.

Choice B reason: This is an incorrect intervention. The nurse should not administer antitussive medication to a child who has pertussis, because it can suppress the cough reflex and increase the risk of mucus accumulation and airway obstruction.

Choice C reason: This is not a priority intervention. The nurse should provide humidified oxygen via nasal cannula to moisten the airways and ease breathing, but this is not as important as monitoring the child for respiratory distress.

Choice D reason: This is a priority intervention. The nurse should monitor the child for signs of respiratory distress, such as cyanosis, tachypnea, retractions, or nasal flaring, because pertussis can cause severe coughing spells that can interfere with breathing.

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Correct Answer is C

Explanation

Choice A reason: This is not a possible source of infection. Wiping from front to back after using

the toilet can prevent bacteria from entering the urinary tract and causing infection.

Choice B reason: This is not a possible source of infection. Drinking plenty of water and cranberry juice every day can help flush out bacteria from

the urinary tract and prevent infection.

Choice C reason: This is a possible source of infection. Taking bubble baths with toys can introduce bacteria into

the urinary tract and cause infection.

Choice D reason: This is not a possible source of infection. Wearing cotton underwear and loose-fitting pants can allow air circulation and prevent moisture buildup in

the genital area, which can reduce

the risk of infection.

A. Rotavirus B. Diphtheria, tetanus, and acellular pertussis C. Haemophilus influenzae type b D. Measles, mumps, and rubella E. Pneumococcal conjugate

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: This is the correct vaccine. The nurse should expect to administer rotavirus vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.

Choice B reason: This is the correct vaccine. The nurse should expect to administer diphtheria, tetanus, and acellular pertussis vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.

Choice C reason: This is the correct vaccine. The nurse should expect to administer Haemophilus influenzae type b vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.

Choice D reason: This is an incorrect vaccine. The nurse should not expect to administer measles, mumps, and rubella vaccine to a 6-month-old infant, as the first dose of this vaccine is given at 12 months of age.

Choice E reason: This is a correct vaccine. The nurse should expect to administer pneumococcal conjugate vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.

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A nurse is planning care for a child who has pertussis (whooping cough). Which ofthe following interventions should be included inthe plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has been admitted with a urinary tract infection (UTI). Which of the following statements by the child's parent indicates a possible source of infection?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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A nurse is planning care for a child who has pertussis (whooping cough). Which of
the following interventions should be included in
the plan?