The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Dust the child's room with a damp cloth every week.

Provide down pillows for the child.

Use a warm mist humidifier in the child's room.

Encourage the child to go outside into the cold air at the start of an asthma attack.

Answer and Explanation

The Correct Answer is A

Dust the child's room with a damp cloth every week.

Choice A rationale:

Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.

Choice B rationale:

Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.

Choice C rationale:

Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.

Choice D rationale:

Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.

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Correct Answer is B

Explanation

Choice A rationale:

Educating caregivers on sensory impairment is important in the care of a child with myelomeningocele, but the priority is to prevent infection. The exposed spinal cord and tissue are at risk of infection.

Choice B rationale:

Preventing infection is the priority for a child with myelomeningocele. The neural tube defect exposes the spinal cord, making the child susceptible to infections that can lead to serious complications.

Choice C rationale:

Correction of joint contractures is important in the overall care of a child with myelomeningocele, but preventing infection takes precedence. Joint contractures can be managed over time, while infection can quickly escalate.

Choice D rationale:

Measuring daily head circumference is essential for assessing hydrocephalus in a child with myelomeningocele, but preventing infection is more urgent. Infection can cause rapid deterioration, while changes in head circumference might be gradual.

A. 4-year-old child with Down Syndrome. B. 6-month-old developmentally appropriate infant. C. 15-month-old child with autism. D. 10-year-old with acquired immune deficiency syndrome (AIDS). E. 12-year-child with an arm fracture. F. For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

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The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the priority nursing intervention for an infant diagnosed with myelomeningocele?

Correct Answer is B

Explanation

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

A 2-week-old infant is seen in the well-baby clinic. As a nurse is assessing the client, which finding would present as a sign of congenital hip dysplasia?

A school-aged child is recently diagnosed with attention deficit hyperactive disorder (ADHD). What information about the newly prescribed stimulant medication should a nurse plan to give the family?

An 8-year-old who is receiving treatment for nephrotic syndrome should have a plan of care for the reduction of the risk for which complication?

Which adventitious breath sound would a nurse expect to auscultate in a child admitted with an asthma exacerbation?

A child has been diagnosed with Hirschsprung's disease. Which of the following findings would the nurse expect the parents to report in the child's history? Select all that apply.

The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

A mother visits her critically ill infant daily. Which comment most strongly suggests this mother is successfully progressing in attachment to her infant?

A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.