A nurse is providing care for a 3-month-old infant diagnosed with RSV bronchiolitis. The infant is tachypneic, rubbing his eyes, and appears sleepy.
The mother places the infant flat, but the baby becomes more short of breath and irritable. Which of the following is the best advice for the nurse to give?

Suggest the mother rock the baby to sleep then lay the baby in the crib.

Take the baby from the mother and lay the baby in the crib.

Recommend the mother feed the baby and then lay the baby down.

Advise swaddling the baby and placing the baby on its back at a 30-degree angle in the crib.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Rocking the baby to sleep and then laying the baby in the crib might not alleviate the baby’s shortness of breath and irritability. While rocking can be soothing, it does not address the underlying issue of respiratory difficulty.

Choice B rationale

Taking the baby from the mother and laying the baby in the crib might not be the best advice. Separation from the mother might increase the baby’s distress and does not address the baby’s respiratory difficulty.

Choice C rationale

Feeding the baby and then laying the baby down might not be the best advice. Feeding can be difficult for a baby who is tachypneic and might increase the risk of aspiration.

Choice D rationale

Advising swaddling the baby and placing the baby on its back at a 30-degree angle in the crib is the best advice. This position can help to decrease work of breathing and increase comfort, which might help the baby to rest better.

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Correct Answer is C

Explanation

Choice A rationale

While it’s true that early recognition of symptoms can help in managing respiratory infections, this is not the primary reason why infants are at increased risk. Infants can be more susceptible to respiratory infections due to physiological factors rather than caregiver awareness.

Choice B rationale

Infants do have smaller airways compared to adults, which can allow for a larger number of organisms to enter. However, the size of the airways is not the main factor that increases the risk of respiratory infections in infants. Other factors, such as the maturity of the immune system and the ability to clear the airways, play a more significant role.

Choice C rationale

Infants’ airways are indeed narrow and can obstruct more easily, trapping organisms. This is one of the main reasons why infants are at an increased risk for respiratory infections. The narrow airways in infants can lead to increased resistance and decreased airflow, making it easier for organisms to invade and cause infections.

Choice D rationale

While it’s true that infants have faster respiratory rates than adults, this does not necessarily increase their risk for respiratory infections. A faster respiratory rate does not inhibit an infant’s ability to cough effectively. In fact, coughing is a protective reflex that can help clear the airways of mucus and foreign particles.

A. Managing the airway. B. Monitoring renal function. C. Restoring fluid volume. D. Assessing for shock.

Correct Answer is A

Explanation

Choice A rationale

The immediate priority when caring for a patient with facial burns, especially a 2-month-old child, is managing the airway. Burns can cause swelling and compromise the airway, leading to respiratory distress. Therefore, ensuring a patent airway is crucial in these cases.

Choice B rationale

While monitoring renal function is important in burn patients due to the risk of acute kidney injury from decreased perfusion, it is not the immediate priority.

Choice C rationale

Restoring fluid volume is a critical part of burn management. However, it is not the immediate concern when the airway could be compromised.

Choice D rationale

Assessing for shock is important in burn patients due to the risk of hypovolemic shock from fluid loss. However, airway management takes precedence.

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Naxlex Comprehensive Predictor Exams

The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.Which of the following is the best response by the nurse?

Correct Answer is C

Explanation

The nurse is caring for a 2-month-old child who suffered burns on his face due to abuse. What is the nurse’s immediate priority concern when caring for this patient?

Correct Answer is A

Explanation

A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change.The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses should the nurse include? (Select all that apply)

Which child requires urgent care?

The nurse is providing education about age-appropriate activities to the parents of a 1-year-old child. Which of the following statements indicates a need for further teaching?

What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy? (Select All That Apply).

The nurse is caring for an infant who has a history of bronchopneumonia.What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?

The nurse recognizes that a 4-year-old hospitalized child is exhibiting which characteristic of cognitive development, when the child tells the nurse it’s sad to be at home alone?