The nurse discovers welts on the back of a child whose parents identify as 1st generation Vietnamese. The mother states she rubbed the edge of a coin on her child's oiled back. The nurse should recognize that this is:
a cultural practice to treat temper tantrums.
a cultural practice to rid the body of disease.
a child discipline measure common in Asian cultures.
child abuse.
The Correct Answer is B
Choice A reason: This is not correct because the mother's action is not intended to calm or punish the child for having a tantrum. It is a traditional healing method that aims to restore the balance of energy in the body.
Choice B reason: This is correct because the mother's action is a form of folk medicine known as coining or cao gio. It involves rubbing a coin or a spoon on the skin with oil or ointment to create red marks or bruises. It is believed to release the wind or bad energy that causes illness or pain.
Choice C reason: This is not correct because the mother's action is not a form of discipline or correction. It is a way of showing care and concern for the child's well-being.
Choice D reason: This is not correct because the mother's action is not abusive or harmful. It is a cultural practice that is based on a different understanding of health and disease. It may look alarming to outsiders, but it is not intended to hurt or injure the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not the correct answer because Synagis® is a monoclonal antibody that is given as a prophylaxis to prevent severe RSV infection in high-risk infants. It is not effective as a treatment for RSV bronchiolitis.
Choice B reason: This is not the correct answer because antiviral medication is not routinely recommended for RSV bronchiolitis, as it has not been shown to improve outcomes. Limiting fluids and giving antitussives may also be harmful, as they can cause dehydration and suppress the cough reflex.
Choice C reason: This is not the correct answer because IV antibiotics are not indicated for RSV bronchiolitis, which is a viral infection. Antibiotics may increase the risk of antibiotic resistance and adverse effects.
Choice D reason: This is the correct answer because oxygen mist therapy can help humidify the air and relieve the respiratory distress. IV fluids can prevent dehydration and maintain electrolyte balance. Hand washing can prevent the spread of RSV infection to other patients and staff.
Correct Answer is C
Explanation
Choice A: 0 - This would indicate that the child shows no signs of discomfort or pain. However, the nurse observed an occasional grimace and squirming, tense activity, which are signs of mild discomfort.
Choice B: 1 - This is the correct answer. The FLACC scale assesses five categories: Face, Legs, Activity, Cry, and Consolability, each scored from 0-2. In this case, the child scored 1 for Face (occasional grimace) and 0 for all other categories, totaling a score of 1.
Choice C: 2 - A score of 2 would indicate more signs of discomfort or pain than observed. The child's legs were relaxed, there was no cry, and the child was consolable, which are all scored as 0.
Choice D: 3 - A score of 3 would suggest even more significant signs of discomfort or pain, which is not consistent with the nurse's observations.
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