An 8-year-old patient with status asthmaticus insists on sitting straight up in bed. Which action should the nurse take?
Allow the patient to stay in the position the child has chosen.
Explain to the patient why semi-Fowler's is a more therapeutic position.
Demonstrate a variety of positions to the patient.
Remove the pillows from the patient's bed.
The Correct Answer is B
Choice A rationale:
Allowing the patient to stay in the chosen position might not be the best approach, as the child's preference might not align with therapeutic considerations for managing status asthmaticus.
Choice B rationale:
Semi-Fowler's position, with the head of the bed elevated, promotes improved lung expansion and easier breathing for patients with respiratory distress. Explaining the rationale behind this position to the child helps them understand its therapeutic benefits, encouraging compliance.
Choice C rationale:
Demonstrating various positions could confuse the child and delay appropriate intervention. A clear explanation of the preferred position is more effective in this critical situation.
Choice D rationale:
Removing pillows might be counterproductive, as elevating the head of the bed is beneficial for respiratory distress. This choice contradicts the therapeutic goal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement "I will not take medications in front of my child”. is correct. Caregivers should avoid taking medications in front of children to prevent them from mimicking the behavior, as some medications can be harmful if ingested accidentally.
Choice B rationale:
The statement "I will keep all my medications in my purse”. is incorrect. Keeping medications in a purse or easily accessible place poses a risk of accidental ingestion by the child. Medications should be stored out of reach and in child-resistant containers.
Choice C rationale:
The statement "We will safety-proof the grandparents' house”. is correct. Safety-proofing the environment is important to prevent accidental poisoning. This statement demonstrates caregiver awareness of potential risks in another household.
Choice D rationale:
The statement "We will put locks on all of our cabinet doors at home”. is correct. Locking cabinet doors is a preventive measure to keep children away from potentially harmful substances, showcasing the caregiver's understanding of safety precautions.
Correct Answer is D
Explanation
Choice A rationale:
The patient ties his shoelaces. This choice is incorrect as most 3-year-olds lack the fine motor skills required to tie shoelaces independently.
Choice B rationale:
The patient gives his first and last name. This choice is also incorrect, as most 3-year-olds might not have developed language skills to provide their full name accurately.
Choice C rationale:
The patient can tell time. This choice is unrealistic for a 3-year-old, as telling time involves cognitive and conceptual abilities that are not yet developed at this age.
Choice D rationale:
The patient draws a stick figure with six parts. This choice is correct. Around age 3, children usually start drawing simple figures with a head, arms, legs, and possibly facial features, totaling around six parts. This reflects appropriate developmental milestones for a child of this age.
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