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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the most appropriate action because it respects the youth's autonomy and maturity, and allows for timely and necessary intervention. Assent is the agreement of a minor to participate in a medical decision, and it is usually sufficient in emergency situations when parental consent is not available.
Choice B reason: This is not the most appropriate action because it may delay the surgery and put the youth at risk of further complications. Another relative may not have the legal authority to consent for the youth, and may not be reachable in time.
Choice C reason: This is not the most appropriate action because it does not address the underlying problem of the injury. Pain medications may provide temporary relief, but they may also mask the symptoms and interfere with the surgery.
Choice D reason: This is not the most appropriate action because it may jeopardize the youth's health and safety. Waiting for parents to obtain consent may result in irreversible damage or even death. The youth's best interest should be the priority in this case.
Correct Answer is C
Explanation
Choice A reason: Respiratory tract infection is not a correct answer because it is not a complication of examining the child's throat. It is a possible cause of epiglottitis, which is an inflammation of the epiglottis, the flap that covers the entrance to the trachea.
Choice B reason: Sore throat is not a correct answer because it is not a complication of examining the child's throat. It is a symptom of epiglottitis, along with fever, difficulty swallowing, and drooling.
Choice C reason: Complete airway obstruction is the correct answer because it is a life-threatening complication of examining the child's throat. The tongue depressor can trigger a spasm of the epiglottis, which can block the airway and cause respiratory distress or arrest.
Choice D reason: Inspiratory stridor is not a correct answer because it is not a complication of examining the child's throat. It is a sign of upper airway obstruction, which can occur in epiglottitis, but it is not caused by the tongue depressor.
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