The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.

What is the best response by the nurse?

Infants’ primary caregivers often do not recognize symptoms early enough.

Infants’ airways are smaller, allowing for larger numbers of organisms to enter.

Infants’ airways are narrow and obstruct more easily, trapping organisms.

Infants’ respiratory rates are faster, which does not allow them to cough effectively.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While it’s true that early recognition of symptoms can help in managing respiratory infections, this is not the primary reason why infants are at increased risk. Infants can be more susceptible to respiratory infections due to physiological factors rather than caregiver awareness.

Choice B rationale

Infants do have smaller airways compared to adults, which can allow for a larger number of organisms to enter. However, the size of the airways is not the main factor that increases the risk of respiratory infections in infants. Other factors, such as the maturity of the immune system and the ability to clear the airways, play a more significant role.

Choice C rationale

Infants’ airways are indeed narrow and can obstruct more easily, trapping organisms. This is one of the main reasons why infants are at an increased risk for respiratory infections. The narrow airways in infants can lead to increased resistance and decreased airflow, making it easier for organisms to invade and cause infections.

Choice D rationale

While it’s true that infants have faster respiratory rates than adults, this does not necessarily increase their risk for respiratory infections. A faster respiratory rate does not inhibit an infant’s ability to cough effectively. In fact, coughing is a protective reflex that can help clear the airways of mucus and foreign particles.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Administering enteral bolus feeds prior to surgery is not typically recommended for infants with a tracheoesophageal fistula. This is because the fistula can allow food or liquid to enter the trachea and lungs, leading to aspiration and potential respiratory complications.

Choice B rationale

Administering Famotidine prior to surgery can help reduce the risk of gastric acid reflux, which can lead to aspiration during surgery. This is particularly important in infants with a tracheoesophageal fistula, as the fistula can allow stomach contents to enter the trachea.

Choice C rationale

Administering IV antibiotics prior to surgery can help prevent infection. This is a common practice in many types of surgery, including surgery to repair a tracheoesophageal fistula.

Choice D rationale

Administering IV fluids during surgery can help maintain hydration and electrolyte balance. This is particularly important in infants, who have a higher risk of dehydration.

Choice E rationale

Administering 100% oxygen via a non-rebreather mask during surgery can help ensure that the infant has adequate oxygen levels. This is particularly important during surgery, as the infant will be under general anesthesia.

A. The child is suffering post-traumatic stress. B. The child is fearful of being separated from his/her parents. C. The child is fearful of permanent scarring. D. The child is worried about the pain associated with the procedure.

Correct Answer is D

Explanation

Choice A rationale

Post-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event. Symptoms may include flashbacks, nightmares, and severe anxiety. However, a 2-year-old child may not have the cognitive ability to develop PTSD as it requires a certain level of cognitive and psychological development.

Choice B rationale

While separation anxiety is a normal stage of development for infants and toddlers, a 2-year- old child in a burn unit is more likely to be afraid of the pain associated with wound dressing changes rather than being separated from his/her parents.

Choice C rationale

Fear of permanent scarring could be a concern for older children and adults who are more aware of their body image. A 2-year-old child may not have the cognitive ability to understand the concept of permanent scarring.

Choice D rationale

The child is likely worried about the pain associated with the procedure. Pain experienced by patients is likely to increase during procedures such as dressing changes. This is a common and immediate fear for children undergoing medical procedures, especially those associated with pain.

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The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant with a tracheoesophageal fistula who is scheduled for surgery.What actions should the nurse anticipate taking in the pre-operative and intra-operative period? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

A 2-year-old child admitted to a burn unit with second and third-degree burns is scheduled for another wound dressing change.The child is anticipating the painful procedure and is anxious and tachycardic as the time approaches. The nurse recognizes that which of the following is likely?

Correct Answer is D

Explanation

A patient arrives at the hospital with a stained, ragged baby blanket.When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.What is the best course of action for the nurse?

The nurse is caring for a 2-month-old child who suffered burns on his face due to abuse. What is the nurse’s immediate priority concern when caring for this patient?

What instructions must the nurse include in the post-operative discharge instruction for a 6-year-old who just had a tonsillectomy? (Select All That Apply).

The nurse is caring for a 9-month-old child.The nurse assesses the baby and finds all of the following data.Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?

A nurse is assessing a one-month-old infant.Which of the following findings should the nurse report to the provider?

The nurse is providing education about age-appropriate activities to the parents of a 1-year-old child. Which of the following statements indicates a need for further teaching?

A nurse is teaching parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? Select all that apply.

The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.

What is the best response by the nurse?