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 C
Explanation
A. Digoxin improves cardiac contractility but does not directly assess fluid volume status.
B. A gain of 20g/day is often a normal weight gain in infants; excessive gain is typically considered >50g/day in the context of fluid retention.
C. Daily weights on the same scale at the same time are the most accurate method to assess fluid volume status in CHF.
D. Using a car seat may increase energy expenditure in some infants and is not a routine intervention for CHF.
Correct Answer is B
Explanation
A. Insulin shock is another term for hypoglycemia, which would not cause unconsciousness after refusing insulin.
B. The history of missed insulin and high-carb intake suggests diabetic ketoacidosis (DKA), where lack of insulin leads to the breakdown of fats, creating ketones and resulting in unconsciousness.
C. An insulin reaction is hypoglycemia, which typically causes shakiness, sweating, and confusion, not unconsciousness after high-carb intake.
D. Metabolic alkalosis is unlikely in this case and is not related to missed insulin or high blood sugar.
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