The nurse is discussing safety with the father of a four-year old child. Critical teaching points should include the following except:

"You should always hold your child's hand when crossing the street."

"Swim lessons would be important now to ensure your child is safe around a pool."

"Medications with child proof tops are safe to keep on the counter so you remember to take them."

"All small objects should be kept out of your child's view since he may aspirate them."

Answer and Explanation

The Correct Answer is C

A. "You should always hold your child's hand when crossing the street."

This is a critical teaching point. Holding a child's hand while crossing the street is an important safety measure to prevent accidents and ensure the child's safety.

B. "Swim lessons would be important now to ensure your child is safe around a pool."

This is also a critical teaching point. Swim lessons can be essential for water safety, especially if there is a pool in the vicinity.

C. "Medications with childproof tops are safe to keep on the counter so you remember to take them."

This statement is incorrect. Medications, even with childproof tops, should be stored out of reach of children to prevent accidental ingestion. It's important to emphasize proper medication storage.

D. "All small objects should be kept out of your child's view since he may aspirate them."

This is a valid teaching point. Small objects can pose a choking hazard, and keeping them out of a child's reach is crucial for safety.

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Correct Answer is B

Explanation

A. Educate the child to avoid triggers.

While avoiding triggers is important for long-term asthma management, it may not address the immediate symptoms of coughing and wheezing.

B. Administer albuterol

Administering albuterol is a common and effective rescue treatment for asthma symptoms like coughing and wheezing. This can provide quick relief.

C. Transport the child to the emergency department.

This is a drastic step and may not be necessary unless the child's symptoms are severe and not responding to initial interventions.

D. Assess the child's peak expiratory flow and compare it to the Asthma Action plan.

Assessing peak expiratory flow and comparing it to the Asthma Action plan is a good practice. However, it might take time, and immediate relief is also crucial.

A. Wait for parents to obtain consent B. Give pain medications until consent can be obtained C. Have the youth give assent, and proceed with surgery D. Attempt to contact another relative

Correct Answer is C

Explanation

A. Wait for parents to obtain consent

Waiting for parents to obtain consent might not be appropriate in emergency situations where immediate intervention is necessary. Delays could impact the outcome, and the healthcare team needs to prioritize the well-being of the patient.

B. Give pain medications until consent can be obtained

Administering pain medications alone might provide temporary relief but does not address the underlying issue requiring emergency surgery. It's important to address the root cause promptly, especially if surgery is deemed necessary.

C. Have the youth give assent, and proceed with surgery

This option is appropriate when dealing with a mature minor who can understand the nature, risks, and benefits of the surgery. Assent from the youth is sought in conjunction with attempts to contact parents. It is an ethical and legal approach in emergency situations.

D. Attempt to contact another relative

Attempting to contact another relative might be a consideration, but it could introduce additional delays. If the situation is urgent and the youth can provide informed assent, proceeding with surgery while continuing efforts to contact parents is a reasonable approach.

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The nurse is discussing safety with the father of a four-year old child. Critical teaching points should include the following except:

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Naxlex Comprehensive Predictor Exams

An 8-year old child, who has a history of asthma is seen in the office of the school nurse with coughing and wheezing. Which of the following actions should the nurse perform first?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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