A 3-month-old with bronchiolitis is brought to the clinic experiencing irritability and poor oral intake. Which finding should alert the practical nurse (PN) that the child is in acute respiratory distress?

Flaring of the nares.

Resting respiratory rate of 35 breaths/minute.

Bilateral bronchial breath sounds.

Diaphragmatic respirations.

Answer and Explanation

The Correct Answer is A

Flaring of the nares, or widening of the nostrils, is a sign of respiratory distress in infants. It indicates that the child is working harder to breathe. This finding should alert the practical nurse (PN) that the child with bronchiolitis is in acute respiratory distress.

A resting respiratory rate of 35 breaths/minute (B) is within the normal range for a 3-month-old infant. Bilateral bronchial breath sounds (C) and diaphragmatic respirations (D) are not specific signs of acute respiratory distress in infants.

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Correct Answer is C

Explanation

For a child with heart failure, the greatest priority for the practical nurse (PN) is to conserve the child's energy. Clustered care activities and rest periods will help to conserve the child's energy and minimize the workload on the heart.

Monitoring therapeutic levels of phenytoin (A) is not relevant to the care of a child with heart failure. Increasing ﬂuid intake (B) is not a priority intervention for a child with heart failure, as excessive ﬂuid intake can worsen heart failure. Restricting intake of foods high in sugar (D) may be necessary for a child with heart failure, but it is not the greatest priority for the PN to address.

A. Antibiotics take a week to be eﬀective against the infection. B. Athlete's foot is a fungus. Antibiotics will not relieve symptoms. C. When the itching stops, continue to use the ointment for two weeks. D. A thick layer of the medication is needed to stop the itching.

Correct Answer is B

Explanation

The PN should inform the client that athlete's foot is a fungal infection and that antibiotics are not eﬀective against fungi. The client needs to use an antifungal medication to treat the infection. The other options are not accurate or appropriate responses.

Antibiotics take a week to be eﬀective against the infection (A) is not accurate because antibiotics are not eﬀective against fungal infections.

When the itching stops, continue to use the ointment for two weeks (C) is not appropriate because the client is using the wrong type of medication.

A thick layer of the medication is needed to stop the itching (D) is not accurate because the client is using the wrong type of medication.

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A 3-month-old with bronchiolitis is brought to the clinic experiencing irritability and poor oral intake. Which finding should alert the practical nurse (PN) that the child is in acute respiratory distress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is planning care for a child with heart failure. Which intervention should the PN give the greatest priority?

Correct Answer is C

Explanation

The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches." How should the PN respond?

Correct Answer is B

Explanation

During morning rounds, a client who is admitted with obsessive-compulsive disorder is in the dayroom repeatedly washing the top of the same table. Which intervention should the practical nurse (PN) implement when approaching the client?

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