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 A
Explanation
"My child will no longer be affected by this condition once we start physical therapy.”.
Choice A rationale:
Cerebral palsy is a lifelong condition that affects muscle control and movement. Physical therapy can improve functionality, but it cannot completely cure or eliminate the condition. This statement demonstrates a misunderstanding of the nature of cerebral palsy.
Choice B rationale:
Choice B is accurate. Cerebral palsy management often involves a multidisciplinary approach including physical therapy, occupational therapy, and other interventions to achieve the best outcomes.
Choice C rationale:
Choice C is correct. There are indeed various treatment options for cerebral palsy, including medications, surgeries, and braces, depending on the severity and specific needs of the individual.
Choice D rationale:
The statement in Choice D is accurate. Inclusion and socialization with typically developing peers is encouraged, and schools often promote interactions among children with and without disabilities.
Correct Answer is C
Explanation
Choice A rationale:
Baclofen from an intrathecal pump primarily affects muscle tone and spasticity, not seizure medications .
Choice B rationale:
Baclofen use generally leads to a reduction in dystonia , not an increase. It's used to manage spasticity, not exacerbate it.
Choice C rationale:
The correct answer. Baclofen administered via an intrathecal pump is intended to reduce muscle tone and spasticity, improving mobility and comfort for patients with conditions like cerebral palsy.
Choice D rationale:
Baclofen doesn't typically cause decreased mobility . In fact, its use is expected to enhance mobility by reducing spasticity.
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