The mother of a child who is hospitalized with croup and is in a mist tent brings the child's favorite stuﬀed animal to the hospital. Which action should the practical nurse (PN) take?

Spray the toy with disinfectant before placing it in the tent.

Limit play with the stuﬀed toy when out of the tent.

Allow the child to have the stuﬀed toy in the tent.

Ask the mother to wash the toy daily at home.

Answer and Explanation

The Correct Answer is C

Answer: B. Limit play with the stuffed toy when out of the tent.

Rationale:

A) Spray the toy with disinfectant before placing it in the tent: Disinfecting the toy may not be necessary unless the toy is visibly soiled. Moreover, the use of disinfectants around the child may pose a risk of respiratory irritation, making this option inappropriate.

B) Limit play with the stuffed toy when out of the tent: This action is appropriate as it helps minimize the risk of cross-contamination and reduces exposure to potential allergens or irritants that may worsen the child's condition. Keeping the toy limited to the tent allows for a safer environment for the child.

C) Allow the child to have the stuffed toy in the tent: While having a favorite toy can provide comfort, it’s crucial to ensure that the toy does not harbor germs that could exacerbate the child's illness. In a mist tent, moisture can also promote mold growth on soft toys, so extra caution is necessary.

D) Ask the mother to wash the toy daily at home: While washing the toy is a good practice, this option does not directly address the immediate care in the hospital setting. Daily washing might not be feasible for the mother during the hospital stay, and it does not focus on minimizing exposure during the child’s hospitalization.

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Correct Answer is A

Explanation

Restlessness, confusion, and agitation in the evening are common symptoms of sundowning, which is a condition that aﬀects some older adults with dementia. Oﬀering to walk around the hallways with the client can provide a calming eﬀect and reduce the symptoms of sundowning.

Dimming the lights may actually increase confusion and agitation, and leaving the client alone may increase feelings of isolation and fear.

Measuring the client's vital signs may not be necessary unless there are specific medical concerns.

A. Have you experienced recent stresses? B. Have you experienced sleep changes? C. What foods have you been eating lately? D. Do you often feel sad?

Correct Answer is D

Explanation

Feeling sad or having a depressed mood is a common symptom of depression. Asking the client if they often feel sad can help the practical nurse (PN) assess for depression.

While recent stresses (A), sleep changes (B), and dietary habits (C) may also be relevant to the client's situation, asking if the client often feels sad is the most important question for the PN to ask in order to further assess for depression.

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The mother of a child who is hospitalized with croup and is in a mist tent brings the child's favorite stuﬀed animal to the hospital. Which action should the practical nurse (PN) take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client at the mental health center reports difficulty concentrating at work, feeling very tired during the day, and sleeping 4 to 5 hours at night. To further assess for depression, which question is most important for the practical nurse (PN) to ask?

Correct Answer is D

Explanation

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The mother of a child who is hospitalized with croup and is in a mist tent brings the child's favorite stuﬀed animal to the hospital. Which action should the practical nurse (PN) take?

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