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 {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Effective (Helped Meet Expected Outcome)
Infant is pink and responsive to stimulation: Indicates improved oxygenation and neurological status.
Respirations: 69 breaths/min, saturation: 98% on 2L via HHFNC: Oxygenation has improved with supplemental oxygen, though the rate is still elevated. Nonetheless, SpO₂ is now within normal range.
Infant has a wet diaper: Suggests adequate hydration and renal perfusion, which is a positive outcome of supportive care.
Ineffective (Did Not Help Meet Expected Outcome):
Significant nasal congestion remains: Indicates suctioning or airway clearance interventions were insufficient or need to be repeated.
Subclavicular intercostal and subcostal retractions: Continued increased work of breathing means respiratory distress is still present.
Unrelated (Not Related to Expected Outcome):
Temperature is 100.7 °F: Mildly elevated, but not central to assessing respiratory effort or hydration in this scenario. It does not directly reflect effectiveness of current interventions for respiratory distress or hydration.
Correct Answer is A
Explanation
A. This is the correct sequence: oxygen first to improve oxygenation, followed by a rapid IV fluid bolus (20 mL/kg) to restore intravascular volume, and then medications if needed.
B. Maintenance fluids are inadequate for shock; boluses are required.
C. A 10 mL/kg bolus is insufficient in pediatric hypovolemic shock; the guideline is 20 mL/kg.
D. Medications should not be started before volume resuscitation in hypovolemic shock.
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