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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Delaying dental care increases the risk of poor oral hygiene, which can actually increase the risk of endocarditis.
B. High-dose IV antibiotics are the treatment for infective endocarditis, not prevention.
C. Daily prophylactic antibiotics are not recommended due to risk of resistance and adverse effects.
D. Administering antibiotics 1 hour prior to dental procedures is the correct recommendation for preventing infective endocarditis in high-risk children, including those with certain congenital heart defects.
Correct Answer is B
Explanation
A. Adding rice cereal could cause excess work on the heart and worsen symptoms. The focus should be on low-stress feeding.
B. Knee-chest position increases systemic vascular resistance, which helps relieve hypercyanotic spells (tet spells) in infants with tetralogy of Fallot.
C. Trendelenburg position is not effective for relieving cyanosis in this condition.
D. The infant with tetralogy of Fallot should be fed smaller, more frequent meals rather than every 2 hours.
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