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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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.

A. "Can you tell me your name and date of birth?" B. "Do you have any allergies or adverse reactions to medications?" C. "How do you feel today? Do you have any pain or discomfort?" D. "What is the name of the medication and why are you taking it?"

Correct Answer is A

Explanation

Choice A reason: Asking the patient to tell their name and date of birth is a way to confirm their identity and match it with the medication order. This is one of the steps of the "five rights" of medication administration, which are the right patient, the right drug, the right dose, the right route, and the right time.

Choice B reason: Asking the patient about their allergies or adverse reactions to medications is important, but it is not a way to ensure patient safety in terms of identification. The nurse should have checked the patient's allergy status before preparing the medication.

Choice C reason: Asking the patient how they feel today and if they have any pain or discomfort is a way to assess their condition and provide comfort measures, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this assessment earlier in the shift or during the medication administration process.

Choice D reason: Asking the patient what is the name of the medication and why they are taking it is a way to educate them about their treatment and check their understanding, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this education before or after giving the medication.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 reviewing the immunization record of a 6-month-old infant who is due for a well-child visit. Which of the following vaccines should the nurse expect to administer? (Select all that apply.)

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

Explanation

A nurse is preparing to administer medication to a child who is hospitalized with an infection. The nurse scans the patient's identification bracelet and verifies the medication order. Which of the following statements should the nurse make to ensure patient safety?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a child who has an infection. Which of the following findings should the nurse report to the provider? (Select all that apply.)

A nurse is caring for a child who has pertussis, also known as whooping cough, which is caused by Bordetella pertussis bacteria. Which of the following types of isolation should the nurse use for this patient?

A nurse is performing hand hygiene before entering a patient's room. The nurse's hands are not visibly soiled. Which of the following statements should the nurse make to explain the rationale for hand hygiene?

A nurse is caring for a 4-year-old child who has been diagnosed with rotavirus gastroenteritis. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is evaluating the effectiveness of infection control education for a group of parents of hospitalized children. Which of the following statements by one of the parents indicates an understanding of the teaching?

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?

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

A nurse is caring for a child who has chickenpox. Which of the following actions should the nurse take? (Select all that apply.)

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