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 B

Explanation

a) Decrease the amount of potassium in the diet: Steroids can increase potassium loss, so restricting potassium intake is unnecessary and could potentially exacerbate hypokalemia.

b) Administer non-live virus vaccine: Generally acceptable as live-virus vaccines are contraindicated in individuals receiving high-dose steroids due to the risk of developing infections.

c) Limit activity and receive home schooling: While rest might be needed in some situations, home schooling might not always be necessary.

d) Monitor for seizure activity: While monitoring for adverse effects is important, it is not specifically related to the use of high-dose steroids.

A. A large bore needle with Heimlich valve for needle aspiration B. A chest tube set up C. Intubation setup D. Appropriate self-inflating bag and correct mask size

Correct Answer is C

Explanation

a) A large bore needle with Heimlich valve for needle aspiration: Not typically used in the management of diaphragmatic hernia.

b) A chest tube set up: While useful in other situations, it may not be the immediate priority in managing diaphragmatic hernia.

c) Intubation setup: Essential for respiratory support in newborns with diaphragmatic hernia, as it helps manage respiratory distress.

d) Appropriate self-inflating bag and correct mask size: Important for neonatal resuscitation but doesn’t specifically address the respiratory challenges associated with diaphragmatic hernia.

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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

Which intervention is appropriate for a child receiving a high dose of steroids?

Correct Answer is B

Explanation

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

Correct Answer is C

Explanation

What is the cardinal sign a nurse would expect to observe with intussusception?

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to the pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is most appropriate?

A nurse is providing information to a group of new mothers. Which rationale would the nurse provide for why newborns and young infants are more susceptible to infection?

Which of the following are clinical manifestations of Lupus (SLE)?

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Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

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A nurse notes that the specific gravity of urine is lower in infants than in older children. The nurse recognizes that the rationale for this difference is related to: