An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which of the following? (Select all that apply).
Administration of antibiotics
Cluster care to conserve energy
Limit fluids to prevent coughing
Round-the-clock administration of antitussive agents
Correct Answer : A,B
Choice A reason: This response is correct because antibiotics are indicated for bacterial pneumonia caused by staphylococcus. Antibiotics help to fight the infection and prevent complications.
Choice B reason: This response is correct because cluster care means grouping nursing interventions together to minimize the disruption of the child's rest and sleep. Cluster care helps to conserve the child's energy and promote healing.
Choice C reason: This response is not correct because fluids are essential for hydration and thinning of secretions in pneumonia. Fluids help to prevent dehydration and facilitate expectoration of mucus.
Choice D reason: This response is not correct because antitussive agents are not recommended for pneumonia. Antitussive agents suppress the cough reflex, which is a natural mechanism to clear the airways of secretions. Antitussive agents may increase the risk of respiratory infection and atelectasis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not appropriate because it denies the child's reality and implies that having two daddies is not normal. It may also hurt the child's feelings and make them feel ashamed of their family.
Choice B reason: This is not appropriate because it sounds judgmental and curious about the child's family structure. It may also make the child feel uncomfortable and different from other children.
Choice C reason: This is appropriate because it accepts the child's statement and shows respect for their family. It also focuses on the child's immediate need and comfort.
Choice D reason: This is not appropriate because it sounds sarcastic and dismissive of the child's family. It may also make the child feel angry and defensive.
Correct Answer is C
Explanation
Choice A reason: This response is not correct because a faster heart rate does not necessarily imply respiratory compromise. A child's heart rate is normally faster than an adult's due to the smaller size and higher metabolic rate of the child.
Choice B reason: This response is not correct because a greater body surface area does not directly affect the respiratory system. A child's body surface area is larger than an adult's in proportion to their body weight, which means they lose heat more easily and are more prone to hypothermia.
Choice C reason: This response is correct because a narrower airway diameter makes the child more susceptible to airway obstruction, inflammation, and edema. A child's airway is about one-third the size of an adult's, which means that even a small amount of swelling or secretions can significantly reduce the airway caliber and cause respiratory distress.
Choice D reason: This response is not correct because the ability to verbalize is not a factor that contributes to respiratory compromise. However, the inability to verbalize may make it harder for the child to communicate their symptoms and needs, which may delay the recognition and treatment of respiratory problems.
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