The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside as much as possible. What is the nurse’s primary rationale for this action?
The mother’s presence will reduce anxiety and ease the child’s respiratory efforts.
Separation from the mother is a major developmental threat at this age.
Mothers of hospitalized toddlers often experience guilt.
The mother can provide constant observations of the child’s respiratory efforts.
The Correct Answer is A
A. Anxiety reduction through the mother's presence can significantly ease respiratory distress and promote comfort in a toddler with LTB.
B. While separation can be stressful, the primary focus in acute LTB is supporting respiratory function.
C. While mothers may experience guilt, the priority is the child's comfort and care.
D. While observation is important, the mother's calming presence is more beneficial for easing anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Skipping blood sugar checks could lead to undetected hypo- or hyperglycemia, so regular checks are essential.
B. Illness typically requires more insulin, not less, as the body is under stress.
C. Irritability, sweating, and shakiness are more likely signs of hypoglycemia, not hyperglycemia.
D. Thirst and stomach aches are common symptoms of hyperglycemia, so the child should check blood sugar when experiencing these signs.
Correct Answer is ["A","D","E","F","H"]
Explanation
A. Dehydration: The infant is unable to stay latched to breast, indicating poor feeding. Combined with increased work of breathing and restlessness, there's a high risk of inadequate fluid intake, which can quickly lead to dehydration in infants.
B. Pulmonary edema: This is not typically associated with bronchiolitis or viral respiratory infections in infants unless there’s cardiac involvement or fluid overload, which is not indicated here.
C. Infection: While the infant likely already has a viral infection (e.g., RSV), the term “infection” in this context refers to the development of a secondary or worsening infection, which is not an immediate complication unless symptoms progress.
D. Apnea: Young infants, especially those under 3 months, are at risk of apneic episodes when experiencing respiratory infections like bronchiolitis, which this case suggests. Apnea is a known complication, especially in infants under 2–3 months.
E. Respiratory failure: The infant is showing head bobbing, intercostal retractions, RR of 65, and low oxygen saturation — all signs of increasing respiratory distress that, if uncorrected, may progress to respiratory failure.
F. Fatigue: Sustained increased respiratory effort (e.g., tachypnea, retractions, restlessness) can lead to exhaustion, especially in infants with limited energy reserves. Fatigue may worsen breathing and feeding issues.
G. Vomiting: Not reported or directly suggested by the scenario. While some infants may vomit with coughing, it’s not a primary anticipated complication in this case.
H. Hypoxia: With an oxygen saturation of 92% on room air, and clinical signs of distress, hypoxia is already present and must be corrected to prevent further complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.