Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

You should always have an antihistamine like Benadryl with you at all times

If it happens again I will teach you what to do

I will teach how to use an epi-pen

You can start a desensitization process to take the allergy away

Answer and Explanation

The Correct Answer is C

a) Having antihistamines like Benadryl is beneficial, but in severe allergic reactions (anaphylaxis), an epinephrine auto-injector (epi-pen) is the first-line treatment and can be life-saving.

b) Waiting for the next occurrence without preparation is risky. Immediate action is crucial in severe allergic reactions.

c) Teaching how to use an epi-pen is crucial for managing severe allergic reactions. It provides rapid relief by counteracting anaphylaxis until emergency help arrives.

d) Desensitization processes are not immediate solutions and are typically conducted under medical supervision.

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Correct Answer is C

Explanation

a) The eustachian tube is longer, wider, and more vertical in younger children: Inaccurate; a more vertical tube might be less prone to drainage issues.

b) The eustachian tube is longer, narrower, and more vertical in younger children: The opposite configuration of the pediatric eustachian tube.

c) The eustachian tube is shorter, wider, and more horizontal in younger children: The anatomy of the pediatric eustachian tube predisposes children to ear infections due to poor drainage and ventilation.

d) The eustachian tube is shorter, narrower, and more horizontal in younger children: Inaccurate; this configuration is less prone to issues related to otitis media.

A. Carrots and green leafy vegetables B. Spaghetti and meat sauce, breadsticks C. Hamburger on a bun, cherry gelatin D. Chips, cold cuts, and canned foods

Correct Answer is D

Explanation

a) Carrots and green leafy vegetables: These are generally low in potassium and would be considered safer options for someone with hyperkalemia.

b) Spaghetti and meat sauce, breadsticks: These typically don't contain high potassium levels compared to other choices.

c) Hamburger on a bun, cherry gelatin: Unlikely to be high in potassium.

d) Chips, cold cuts, and canned foods: These can be high in added salts and preservatives, leading to higher potassium content. Therefore, they should be avoided by individuals managing hyperkalemia due to renal failure.

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Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a younger child with otitis media. The parents ask the nurse why children seem to get otitis media frequently, but adults do not. Which statement about the physiological differences between young children and adults would the nurse provide?

Correct Answer is C

Explanation

A child in renal failure is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid? Fruits and vegetables low in potassium

Correct Answer is D

Explanation

Which of the following is a major clinical manifestation of rheumatic fever (RF)?

The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

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