A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching?

A dehumidifier should be placed beside the child's bed.

The child is most contagious after the rash develops.

Transmission will be limited because of herd immunity.

Household contacts will receive prophylactic antibiotics.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D because, "Household contacts will receive prophylactic antibiotics." The nurse should include in the teaching that household contacts of the child with pertussis will receive prophylactic antibiotics to prevent the spread of the disease. This answer is correct because pertussis is a highly contagious respiratory illness that spreads through respiratory droplets, and prophylactic antibiotics can help prevent the spread of the disease.

Choice A is wrong because is incorrect because a dehumidifier will not prevent the spread of pertussis.

Choice B is wrong because is incorrect because pertussis does not cause a rash.

Choice C is wrong because is incorrect because herd immunity occurs when a large percentage of the population is immunized against a disease, and pertussis is preventable with vaccination.

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

Explanation

Interventions for Chemotherapy-Induced Nausea: Analyzing the Choices

The prompt describes a home health nurse caring for a client experiencing chemotherapy-induced nausea resistant to pharmacological interventions. We need to analyze the effectiveness of each offered intervention based on evidence and rationale:

a. Maintain the head of the client's bed in an elevated position after eating.

Rationale:

Supportive:Some studies suggest elevating the head of the bed by 30-45 degrees might reduce gastroesophageal reflux and nausea after meals.

b. Provide sips of room-temperature ginger ale between meals.

Rationale:

Supportive:Ginger has demonstrated antiemetic properties in several studies,potentially reducing nausea and vomiting.Room-temperature liquids are generally better tolerated than cold or hot ones for nausea.
Considerations:The effectiveness of ginger may vary between individuals,and potential interactions with other medications should be checked.

c. Offer 120 mL (4 oz) of cold milk as a meal replacement.

Rationale:

Unsupportive:Replacing meals with small volumes of milk is inadequate for nutritional needs and can worsen nausea due to an empty stomach.Chemotherapy can already impact appetite and nutrient intake,and offering small,frequent meals is generally recommended.
Potential harm:Skipping meals can lead to electrolyte imbalances,dehydration,and further weaken the client.

d. Use seasonings to enhance the flavor of foods.

Rationale:

Mixed evidence:While strong odors or unfamiliar flavors can trigger nausea in some clients,using bland or mild seasonings might not be universally effective.Some studies suggest offering preferred or familiar flavors based on individual preferences could improve appetite and tolerance.
Individualization:Experimenting with different spices and flavors based on the client's preferences and observing their response is crucial.

e. Assist the client in using guided imagery.

Rationale:

Supportive:Guided imagery is a relaxation technique that can help manage nausea by distracting the client from the unpleasant sensation and promoting feelings of calmness.Studies have shown its effectiveness in reducing nausea and vomiting in various contexts,including chemotherapy.
Considerations:Not all clients may be receptive to guided imagery,and its success depends on individual preferences and practice.

In conclusion, the most appropriate interventions for the client include:

Providing sips of room-temperature ginger ale between meals (choice b).
Assisting the client in using guided imagery (choice e).

Choices a, c, and d require further evaluation or are not generally recommended based on current evidence.

A. Chelation therapy B. Treatment with naloxone C. Cognitive behavioral therapy D. Treatment with methadone

Correct Answer is C

Explanation

The correct answer is choice C, Cognitive Behavioral Therapy.

Explanation: Cognitive-behavioral therapy (CBT) is a type of talk therapy that focuses on changing unhealthy patterns of thinking and behavior. CBT has been shown to be effective in treating alcohol use disorder by helping clients identify and change the thoughts and behaviors that lead to drinking. Options A, B, and D are incorrect because chelation therapy is used to treat heavy metal poisoning, naloxone is used to reverse opioid overdose, and methadone is used to treat opioid addiction.

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A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (Select all that apply.)

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

Explanation

Interventions for Chemotherapy-Induced Nausea: Analyzing the Choices

A nurse working in a community health center is providing teaching to a client who has alcohol use disorder. Which of the following treatment methods should the nurse include in the teaching?

Correct Answer is C

Explanation

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