The parents of a child, who has had multiple respiratory infections since birth tells the nurse, "when we kiss our child, all we can taste is salt". It would be appropriate for the nurse to suggest to the primary health-care provider that the child be assess for which of the following illnesses?
Bronchiolitis
Pharyngitis
Asthma
Cystic Fibrosis
The Correct Answer is D
A. Bronchiolitis:
Bronchiolitis is typically characterized by inflammation of the bronchioles, causing symptoms such as wheezing and respiratory distress. However, the symptom of tasting salt on the skin is not directly associated with bronchiolitis.
B. Pharyngitis:
Pharyngitis, or inflammation of the throat, may cause symptoms like a sore throat, but it is not typically associated with a salty taste on the skin.
C. Asthma:
Asthma is a chronic condition characterized by airway inflammation and bronchoconstriction. While it can cause respiratory symptoms, it is not specifically associated with a salty taste on the skin.
D. Cystic Fibrosis:
Cystic Fibrosis is a genetic disorder that affects the respiratory, digestive, and reproductive systems. It often leads to salty-tasting skin due to increased salt content in sweat. The presence of a salty taste on the skin can be a significant indicator of cystic fibrosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Separation from parents should be completed by this age
This statement is not accurate. The age at which a child separates from their parents can vary widely and is influenced by cultural, familial, and individual factors. There is no strict rule that separation should be completed by a specific age, and it can vary from one family to another.
B. Daytime attention should be increased
This statement does not directly address the issue of co-sleeping. It suggests increasing daytime attention but does not provide guidance or understanding about the parents' choice to have their child sleep with them.
C. This is a common practice, especially in some cultural groups
This statement recognizes the cultural diversity in child-rearing practices. Co-sleeping is indeed a common practice in many cultures, and acknowledging this fact helps to avoid making value judgments based on one's own cultural perspective.
D. It is illegal for parents to sleep with their children, and this is reportable abuse
This statement is not accurate. Co-sleeping itself is not illegal, and it is not considered abuse. The appropriateness of co-sleeping can depend on various factors, but it is not inherently illegal or abusive.
Correct Answer is D
Explanation
A. The child's current vital signs are consistent with vital signs over the past 4 hours.
Vital signs alone may not be sufficient to assess pain in a child. Children may experience pain without significant changes in vital signs. Behavioral cues and self-reporting are important indicators of pain in pediatric patients.
B. The child becomes quiet when held and cuddled.
While seeking comfort through cuddling may be a sign of distress or discomfort, it is not specific enough to determine the need for pain medication. Additional assessment is required to understand the underlying cause of the child's change in behavior.
C. The child has a temperature of 38.5°C.
Fever alone does not necessarily indicate the need for pain medication. It may suggest an infection or illness, but the specific assessment of pain requires consideration of the child's behavior, verbal expressions, and any other cues related to pain.
D. The child is lying stiffly in bed, not moving, and refusing to get up.
In this scenario, the child's behavior of lying stiffly in bed, not moving, and refusing to get up is indicative of potential pain. Children may express pain in various ways, and behavioral cues such as changes in activity, refusal to move, or guarding certain body parts can suggest discomfort. It is important for the nurse to assess and address the child's pain promptly.
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