The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?
I know how you feel, but the best medicine for your child right now is acetaminophen.
Your child will get better on her own in a few days.
I am also very surprised that the pediatrician did not order antibiotics.
It is likely that the ear infection is caused by a virus and antibiotics do not kill viruses.
The Correct Answer is D
Choice A reason: This response is not appropriate because it does not address the mother's concern about antibiotics. It also implies that the nurse is making a medical decision for the child, which is beyond the scope of practice.
Choice B reason: This response is not appropriate because it does not provide any reassurance or education to the mother. It also sounds dismissive of the child's condition and the mother's worry.
Choice C reason: This response is not appropriate because it undermines the authority and judgment of the pediatrician. It also creates doubt and confusion in the mother's mind about the quality of care her child is receiving.
Choice D reason: This response is appropriate because it explains the rationale for not prescribing antibiotics for an ear infection. It also educates the mother about the difference between viral and bacterial infections and the appropriate use of antibiotics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Having a decongestant available to give the child when an attack occurs is not a correct answer because decongestants are not recommended for children under 6 years old. They can cause side effects such as increased heart rate, irritability, and insomnia.
Choice B reason: Having the child sleep in a dry room is not a correct answer because dry air can worsen the inflammation and swelling of the airway. Moist air can help soothe the throat and reduce the coughing.
Choice C reason: Keeping the child's room humidified is the correct answer because humidified air can help loosen the mucus and ease the breathing. A cool-mist humidifier or a steamy bathroom can provide humidification.
Choice D reason: Giving the child an antibiotic at bedtime is not a correct answer because antibiotics are not effective for croup, which is usually caused by a virus. Antibiotics can also cause adverse reactions such as rash, diarrhea, and allergic reactions.
Correct Answer is D
Explanation
Choice A reason: APT stands for Acute Pain Team, which is a multidisciplinary team that provides pain management for patients. It is not a tool to assess pain.
Choice B reason: Numeric is a pain scale that uses numbers from 0 to 10 to rate the intensity of pain. It is not suitable for a 4-year-old child who may not understand the concept of numbers or have difficulty expressing their pain level.
Choice C reason: FLACC stands for Face, Legs, Activity, Cry, and Consolability. It is a pain scale that uses behavioral cues to assess pain in infants and young children who are unable to verbalize their pain. It is more appropriate for children under 3 years of age.
Choice D reason: FACES is a pain scale that uses facial expressions to indicate the level of pain. It is suitable for a 4-year-old child who can point to the face that matches their pain. It is a simple and easy way to assess pain in children.
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