A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Breathing techniques

Work extended shifts

Facilitate discussion on vicarious trauma

Take sleep aids at night

Guided imagery

Answer and Explanation

Correct Answer : A,C,E

A. Breathing techniques. Deep breathing exercises help reduce stress, promote relaxation, and lower anxiety, making them an effective strategy to mitigate burnout among healthcare staff.

B. Work extended shifts. Long shifts contribute to burnout by increasing physical and emotional exhaustion. Encouraging shorter shifts and adequate rest periods is more beneficial for staff well-being.

C. Facilitate discussion on vicarious trauma. Caring for terminally ill children can lead to compassion fatigue and secondary trauma. Providing a safe space for staff to discuss their experiences helps in processing emotions and reducing emotional distress.

D. Take sleep aids at night. While sleep is essential, relying on sleep aids is not a recommended long-term strategy for managing burnout. Encouraging healthy sleep hygiene and relaxation techniques is a safer approach.

E. Guided imagery. This stress-reduction technique involves visualizing calming and peaceful scenes, helping healthcare staff manage emotional strain and maintain resilience in a high-stress environment.

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Correct Answer is C

Explanation

A. Aspirin. Aspirin should never be given to a child with chickenpox due to the risk of Reye's syndrome, a rare but serious condition that can cause liver and brain damage when aspirin is used during viral infections.

B. Corticosteroid cream. While corticosteroids reduce inflammation, they are not recommended for chickenpox because they can suppress the immune response and potentially worsen the infection.

C. Oral antihistamine. Antihistamines such as diphenhydramine help relieve severe itching, which is a common symptom of chickenpox. Reducing itchiness can also help prevent scratching that may lead to skin infections and scarring.

D. Oral antibiotics. Chickenpox is caused by the varicella-zoster virus, so antibiotics are not needed unless a secondary bacterial infection (such as impetigo) develops from scratching the lesions.

A. Prophylactic treatment is offered to those who have been in close contact with an infected child in the past 60 days. B. Severe, prolonged episodes of coughing is a characteristic manifestation of this infection. C. A painful, stiff neck is a common manifestation of this infection. D. An antiviral medication is administered to treat this infection.

Correct Answer is B

Explanation

A. Prophylactic treatment is offered to those who have been in close contact with an infected child in the past 60 days. While prophylactic antibiotics (such as azithromycin) are recommended for close contacts of an infected person, the timeframe for exposure is within the past 21 days, not 60 days.

B. Severe, prolonged episodes of coughing is a characteristic manifestation of this infection. Pertussis (whooping cough) is marked by severe coughing fits followed by a "whooping" sound during inhalation. The cough is paroxysmal (sudden and violent), prolonged, and can lead to vomiting, exhaustion, or respiratory distress.

C. A painful, stiff neck is a common manifestation of this infection. A stiff neck (nuchal rigidity) is more commonly associated with meningitis, not pertussis. Pertussis primarily affects the respiratory system, causing a severe cough.

D. An antiviral medication is administered to treat this infection. Pertussis is caused by the bacterium Bordetella pertussis, so it is treated with antibiotics (e.g., azithromycin, clarithromycin, or erythromycin), not antivirals.

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A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a child who has chickenpox. Which of the following medications should the nurse anticipate for the child?

Correct Answer is C

Explanation

A nurse is discussing pertussis with a newly licensed nurse. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

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