The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the emergency department at 2 AM on a cold winter night to say that the child has awakened with a barking cough and an elevated temperature. The caregiver reports she has taken the child into the bathroom and ran hot water for 15 minutes and now the child seems blue around her mouth The nurse would most appropriately recommend what action to the caregiver?
“Bring the child to the emergency room immediately.”
“Bundle the child up and take her out into the cold for a few minutes. Call back if the exposure to the cold air does not provide relief.”
“Take the child into the steam-filled room for an additional 15 minutes. If there is no relief, bring the child to the emergency room.”
“Put a cool mist humidifier or vaporizer in the room to see if that relieves the cough. Call back if there’s no relief in an hour.”
The Correct Answer is A
A. “Bring the child to the emergency room immediately.”
This is the most appropriate recommendation given the symptoms described, including the barking cough, elevated temperature, and blueness around the mouth. These signs may indicate respiratory distress, and immediate medical attention is needed.
B. “Bundle the child up and take her out into the cold for a few minutes. Call back if the exposure to the cold air does not provide relief.”
Taking a child out into the cold is not a recommended intervention for respiratory distress. This action may exacerbate the child's breathing difficulties. The symptoms described require urgent evaluation in a healthcare setting.
C. “Take the child into the steam-filled room for an additional 15 minutes. If there is no relief, bring the child to the emergency room.”
While steam may provide temporary relief for mild respiratory symptoms, the presence of blueness around the mouth suggests a more severe condition. Delaying care by waiting for an additional 15 minutes may not be appropriate in this situation.
D. “Put a cool mist humidifier or vaporizer in the room to see if that relieves the cough. Call back if there’s no relief in an hour.”
Using a cool mist humidifier may be helpful for mild respiratory symptoms, but the severity of the symptoms described, especially blueness around the mouth, indicates a need for immediate medical attention. Waiting for an hour could lead to worsening of the child's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Seal nonwashable items in a plastic bag for 5 days:
Lice cannot survive for an extended period without a host. While sealing items in a plastic bag may trap lice, it is not a recommended or practical preventive measure.
B. Machine wash all washable items in hot water and dry in a hot dryer for at least 20 minutes:
Washing and drying bed linens, clothing, and other washable items in hot water and a hot dryer help kill lice and their eggs.
C. Vacuum carpets, car seats, mattresses, and furniture:
Vacuuming helps remove any stray lice or eggs that may have fallen onto surfaces.
D. Discourage sharing of personal items:
Avoiding the sharing of personal items, such as combs, brushes, hats, and headphones, helps prevent the spread of lice.
E. Boil combs/brushes/hair accessories for 10 minutes or soak in a lice-killing product for 1 hour:
Boiling or using a lice-killing product helps ensure that combs, brushes, and hair accessories are free from lice.
Correct Answer is A
Explanation
A. “I feel better knowing that her curiosity is normal.”
This comment reflects an understanding and acceptance of the normal curiosity and exploration that is part of sexual development in children. It acknowledges that curiosity about one's body is a natural aspect of growing up.
B. “When I find my son masturbating, I will tell him that is unacceptable.”
This statement may convey a negative and shaming attitude toward a normal behavior. It is important to approach discussions about masturbation with sensitivity and openness, emphasizing privacy and appropriate contexts.
C. “I will tell my daughter that she will have time to explore her body as she gets older.”
This statement acknowledges the importance of age-appropriate discussions about sexual development. It conveys a supportive and understanding approach to the child's evolving understanding of their body.
D. “I will encourage my son to ask his father any questions that are sexual in nature.”
While open communication is essential, it's important to create an environment where the child feels comfortable talking to both parents about sexual development. Encouraging communication with both parents is a positive approach.
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