While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?
Apply petroleum jelly to the child's nose and lips.
Use a topical lidocaine analgesic for cracked lips.
Ask the mother what she usually uses on the child's lips and nose.
Use a water soluble lubricant on affected oral and nasal mucosa.
The Correct Answer is D
Choice A reason: Applying petroleum jelly is not recommended because it is not water-soluble and can potentially be inhaled into the lungs, posing a risk.
Choice B reason: Using a topical lidocaine analgesic is not suitable for cracked lips and nares, as it is intended for pain relief rather than moisturizing.
Choice C reason: Asking the mother what she usually uses on the child's lips and nose is helpful for gathering information but does not provide an immediate intervention.
Choice D reason: Using a water soluble lubricant is appropriate because it helps to moisturize the dry and cracked areas without posing a risk of inhalation, ensuring the child's comfort and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Pinworm infections can be asymptomatic, so treatment is recommended even in the absence of symptoms to prevent spread.
Choice B reason: A second dose of mebendazole is often recommended two weeks after the initial dose to ensure all pinworms are eliminated, including newly hatched ones.
Choice C reason: Mebendazole is not recommended for children under two years of age without medical advice.
Choice D reason: Mebendazole is typically administered orally, not as a rectal suppository.
Correct Answer is ["B","E"]
Explanation
Choice A reason: Tinnitus is not an immediate concern in the context of multiple sclerosis.
Choice B reason: Tachycardia should be reported immediately as it could indicate an underlying cardiovascular issue or autonomic dysfunction.
Choice C reason: Tremors are a common symptom of multiple sclerosis and do not require immediate reporting unless there is a significant change.
Choice D reason: Paresthesia is also a common symptom of multiple sclerosis and does not require immediate reporting unless there is a significant change.
Choice E reason: Fever should be reported immediately as it can indicate an infection, which can exacerbate multiple sclerosis symptoms.
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