The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction?

Coughing spells may be triggered by dust or smoke."

We need to maintain droplet precautions and a quiet environment for at least 2 weeks.

"We need to encourage our child to drink fluids.

Vomiting may occur when our child has coughing episodes."

Answer and Explanation

The Correct Answer is B

A. Coughing spells may be triggered by dust or smoke:
Incorrect: This is a correct statement. Irritants like dust or smoke can trigger coughing spells in a child recovering from pertussis.
B. We need to maintain droplet precautions and a quiet environment for at least 2 weeks.
Correct Answer: Pertussis is highly contagious during the catarrhal and paroxysmal stages, but once the child has reached the convalescent stage (usually after 2-4 weeks of illness), the risk of spreading the infection decreases significantly. Continuing strict droplet precautions and a quiet environment for two weeks after the convalescent stage is not necessary.
C. "We need to encourage our child to drink fluids":
Incorrect: This is a correct statement. Encouraging fluid intake is important to prevent dehydration, especially during coughing spells.
D. Vomiting may occur when our child has coughing episodes:
Incorrect: This is a correct statement. Vomiting can be a common occurrence during coughing episodes in pertussis due to the forceful nature of the cough. Parents should be aware of this symptom.

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Correct Answer is A

Explanation

A. Administer prednisone on an alternate-day schedule.
Explanation: Prednisone, a corticosteroid, is often prescribed to manage inflammation and symptoms in juvenile idiopathic arthritis. An alternate-day schedule helps minimize the risk of side effects associated with prolonged corticosteroid use.
B. Apply cool compresses for 20 minutes every hour.
Incorrect: While cool compresses can provide relief for joint pain associated with arthritis, applying them every hour may be excessive and is not a standard recommendation. It's important to use cooling measures judiciously.
C. Encourage the child to take a 45-minute nap daily.
Incorrect: While adequate rest is important for overall health, suggesting a specific duration for a nap may not be universally applicable. The child's need for rest and sleep should be based on individual factors, and a specific time frame is not a standard recommendation for juvenile idiopathic arthritis.
D. Allow the child to stay at home on days when her joints are painful.
Incorrect: While it's important to consider the child's comfort and well-being, keeping the child at home solely on days of joint pain may not be necessary. The goal is to manage symptoms effectively to allow participation in normal daily activities, including school. Restricting activities solely based on joint pain is not the typical approach to managing juvenile idiopathic arthritis.

A. Valley fever B. Shingles C. Fever blister D. Athlete's foot

Correct Answer is D

Explanation

A. Valley fever
Explanation: Valley fever is a respiratory infection caused by inhaling spores of the Coccidioides fungus. It is not related to tinea pedis.
B. Shingles
Explanation: Shingles is a painful rash caused by the varicella-zoster virus. It is not related to tinea pedis.
C. Fever blister
Explanation: A fever blister is another term for a cold sore, typically caused by the herpes simplex virus. It is not related to tinea pedis, which is a fungal infection of the feet.
D. "Athlete's foot"
Explanation:
Tinea pedis is commonly known as athlete's foot. It is a fungal infection that affects the skin of the feet, particularly the spaces between the toes. The condition is often associated with warm and moist environments, such as those found in athletic shoes, hence the term "athlete's foot."

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The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?

Correct Answer is D

Explanation

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.

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