A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
Apply lotion to hands and feet.
Encourage the child to rest when possible.
Place the child in a quiet environment.
Make a list of foods that the child likes.
The Correct Answer is C
The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child's symptoms. The other options (A, B, and D) may also be helpful, but placing the child in a quiet environment is a key intervention in this situation.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Albuterol is a beta-adrenergic agonist agent that is used to open the airways in people with bronchial asthma. The mother's use of this medication to open her son's airway when he is having trouble breathing is appropriate. Overuse of the drug may cause side effects, but it does not cause chronic bronchitis (A)
Albuterol helps to relax the muscles in the airways, but it does not reduce airway inflammation (C)There is no indication that the child needs immediate evaluation (D)

Correct Answer is A
Explanation
To prevent recurrence of otitis media in their infant. Exposure to secondhand smoke has been identified as a risk factor for recurrent otitis media.
B. While it is important to monitor the infant's ears for signs of infection, daily inspection alone is not sufficient to prevent recurrence of otitis media.
C. The prone position after feeding is not recommended for infants due to the risk of choking and aspiration, and it is not a preventive measure for otitis media.
D. While breastfeeding is associated with a reduced risk of otitis media, frequent breastfeeding alone is not sufficient to prevent recurrence of the condition.

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