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: The child has a high fever is not a correct answer because fever is not a specific sign of croup. Fever can occur in many respiratory infections, such as bronchiolitis, pneumonia, or tonsillitis.
Choice B reason: Wheezing is heard audibly is not a correct answer because wheezing is not a characteristic feature of croup. Wheezing is more common in asthma or bronchiolitis, which affect the lower airways.
Choice C reason: It is bacterial in nature is not a correct answer because croup is usually caused by a virus, such as parainfluenza, adenovirus, or respiratory syncytial virus. Bacterial croup is rare and more severe, requiring hospitalization and antibiotics.
Choice D reason: It has a harsh, barking cough is the correct answer because it is the most distinctive symptom of croup. The cough is caused by the inflammation and narrowing of the larynx and trachea, which produce a sound similar to a seal's bark.
Correct Answer is A
Explanation
Choice A reason: A peak expiratory flow meter is a device that measures how fast the child can exhale air from the lungs. It can help monitor the severity of asthma and the effectiveness of treatment. It can also help identify triggers and prevent asthma attacks.
Choice B reason: A metered dose inhaler with spacer is a device that delivers medication to the lungs. It can help relieve or prevent asthma symptoms, but it does not measure how well the asthma is controlled.
Choice C reason: Pulse oximetry is a device that measures the oxygen saturation of the blood. It can help detect hypoxia, which is a complication of asthma, but it does not measure how well the asthma is controlled.
Choice D reason: Inhaled steroids are a type of medication that reduce inflammation in the airways. They can help prevent asthma attacks and improve lung function, but they do not measure how well the asthma is controlled.
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