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. Stopping the medication when the child feels better B. Written information about the medication C. The reason why the child is taking the medication D. Using a kitchen spoon to administer the medication E. The adverse effects of the medication

Correct Answer is ["B","C","E"]

Explanation

A. Stopping the medication when the child feels better: Antibiotics should be taken for the full prescribed course, even if the child starts feeling better. Stopping prematurely can lead to incomplete eradication of the infection and potential antibiotic resistance.
B. Written information about the medication: Providing written information about the medication helps reinforce verbal instructions and serves as a reference for the parents or caregivers.
C. The reason why the child is taking the medication: It is essential to explain to parents or caregivers the purpose of the medication, such as treating a specific infection. Understanding the reason for the medication promotes compliance.
D. Using a kitchen spoon to administer the medication: Using a kitchen spoon can result in inaccurate dosing. The nurse should recommend using an appropriate measuring device, such as a calibrated oral syringe or a dosing spoon, to ensure accurate dosage administration.
E. The adverse effects of the medication: Educating parents or caregivers about potential adverse effects helps them monitor for any signs of complications and seek medical attention if needed.

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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 preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

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?

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