The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse?
“Sterilize a pair of narrow tweezers. While someone else holds the child’s head still, carefully insert the tweezers and remove the paper if there is any.”
“Wait for a day or two to see if the child’s ears seem irritated. If they do, bring her in.”
“The child should be seen by a care provider. Don’t put anything in her ear and bring her in right away.”
“Wash her ear out using warm water and an ear syringe then the paper will flush out with the water.”
The Correct Answer is C
Choice A reason: Using tweezers risks ear canal injury or pushing paper deeper in a 2-year-old, potentially causing trauma. Professional evaluation ensures safe removal, making this dangerous and incorrect compared to advising immediate medical attention to address the potential foreign object in the child’s ear safely.
Choice B reason: Delaying care for irritation risks complications like infection or eardrum damage from a foreign object in a 2-year-old. Immediate provider assessment is safer, making this inadequate and incorrect compared to prioritizing prompt medical evaluation for the child’s potential ear issue.
Choice C reason: Immediate care provider evaluation ensures safe removal of any paper, preventing ear damage or infection in a 2-year-old. Advising against inserting objects protects the child, aligning with pediatric safety protocols, making this the correct response to address the caregiver’s concern effectively.
Choice D reason: Washing the ear with a syringe may push paper deeper or injure a 2-year-old’s delicate ear canal. Professional intervention is needed, making this risky and incorrect compared to seeking immediate medical evaluation to safely address the potential foreign object in the child’s ear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Eating with family may encourage variety but does not address the normalcy of food jags in 6-year-olds. Reassuring about their transient nature reduces caregiver stress, making this less direct and incorrect compared to normalizing the child’s selective eating behavior for the concerned caregiver.
Choice B reason: Insisting on variety at every meal may escalate mealtime stress, as food jags are normal and temporary in 6-year-olds. Acknowledging their common occurrence is more supportive, making this pressuring and incorrect for addressing the caregiver’s nutritional concern about the child’s eating habits.
Choice C reason: Food jags, where a child fixates on one food, are common at age 6 and typically resolve naturally. Reassuring the caregiver reduces anxiety and aligns with pediatric nutrition guidance, making this the prioritized response to address concerns about the child’s nutrition and eating patterns.
Choice D reason: Discouraging food preferences risks mealtime conflicts, as food jags are developmentally normal. Normalizing their temporary nature supports the caregiver without forcing the child, making this unhelpful and incorrect compared to reassuring about the common, transient behavior in 6-year-olds.
Correct Answer is C
Explanation
Choice A reason: Gown, handwashing, and gloves are used for contact precautions, not droplet precautions, which require a mask to prevent respiratory droplet transmission. Pneumonia spreads via droplets, making gowns and gloves excessive, and this combination incorrect for the specific infection control needed in this scenario.
Choice B reason: Handwashing and gloves protect against contact transmission but do not address respiratory droplets in pneumonia, which requires a mask. Droplet precautions prioritize airway protection, making this incomplete and incorrect for the nurse’s protective measures in caring for a child with pneumonia.
Choice C reason: Droplet precautions for pneumonia require a mask to block respiratory droplets and handwashing to prevent fomite transmission. This combination aligns with infection control guidelines for droplet-borne infections, making it the correct choice for the nurse’s protective measures in this clinical scenario.
Choice D reason: Gown, gloves, and mask are used for airborne or contact precautions, not droplet precautions. Pneumonia requires only a mask and handwashing, as droplets are the primary transmission mode, making this excessive and incorrect for the specific precautions needed for this child’s care.
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