A nurse on a pediatric unit is admitting a 5-year-old child who has a submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make?

"Your child needs mechanical ventilation."

"We need to observe your child for cerebral swelling."

"Your child needs to have an electroencephalogram."

"We need to perform an echocardiogram on your child."

Answer and Explanation

The Correct Answer is B

A. "Your child needs mechanical ventilation." Mechanical ventilation is unnecessary if the child is awake and alert.
B. "We need to observe your child for cerebral swelling." Submersion injuries can lead to complications like cerebral edema or acute respiratory distress syndrome (ARDS), even if the child initially appears stable. Observation is essential to identify and address delayed complications.
C. "Your child needs to have an electroencephalogram." Electroencephalograms (EEGs) are not routine unless seizures or brain activity concerns are present.
D. "We need to perform an echocardiogram on your child." Echocardiograms are not standard for submersion injuries unless cardiac dysfunction is suspected.

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

Explanation

A. Proton pump inhibitors (PPIs): Reduce stomach acid production, which minimizes esophageal irritation and promotes healing.
B. H2-receptor antagonists: Decrease acid production in the stomach and are commonly used for GER.
C. Adrenergic bronchodilator: Used for respiratory issues, not GER or pyloric stenosis.
D. Antiviral: No evidence of a viral infection in this scenario.
E. Antispasmodic: Not indicated for GER or pyloric stenosis management.

A. "My child will be awake for this procedure." B. "I can take my child home as soon as the procedure is over." C. "The provider will remove the object during this procedure." D. "After this procedure, I have to wait 48 hours before I can give my child solid foods."

Correct Answer is C

Explanation

A. "My child will be awake for this procedure.": Incorrect because the child will be under sedation or anesthesia for safety and to prevent distress.
B. "I can take my child home as soon as the procedure is over.": Incorrect because the child must be monitored post-procedure for complications like airway swelling or sedation effects.
C. "The provider will remove the object during this procedure." A bronchoscopy allows visualization and removal of foreign objects from the airway, which is the purpose of the procedure.
D. "After this procedure, I have to wait 48 hours before I can give my child solid foods.": Incorrect because eating is typically resumed after the child recovers from sedation and demonstrates a safe swallow reflex.

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A nurse on a pediatric unit is admitting a 5-year-old child who has a submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

Select 2 provider prescriptions the nurse should anticipate.

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

Explanation

A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following parent statements indicate understanding of the teaching?

Correct Answer is C

Explanation

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