A home health nurse is teaching a child's parents about endotracheal suctioning. Which of the following statements should the nurse include in the teaching?
Apply suction when inserting the catheter.
Allow the child to rest for 10 to 15 seconds after each suctioning attempt.
Set the suction pressure to 110 mm Hg.
Apply suction for less than 10 seconds.
The Correct Answer is D
A. Suction should not be applied during insertion to avoid trauma to the airway.
B. The rest period between suctioning attempts should be at least 30-60 seconds to allow the child to recover.
C. The appropriate suction pressure for infants and children should be set between 60-100 mm Hg.
D. Suctioning should be applied for less than 10 seconds to minimize hypoxia and trauma.
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Correct Answer is D
Explanation
A. Taking the temperature every 4 hours is important for monitoring but does not prevent transmission.
B. Encouraging fluids is important for hydration but does not prevent the spread of infection.
C. Giving Tylenol for pain management is appropriate but does not prevent disease transmission.
D. Discarding the toothbrush and buying a new one after 24 hours of antibiotic therapy helps prevent re-infection and transmission of bacteria.
Correct Answer is C
Explanation
A. Temper tantrums are not a type of learning disability but a normal part of toddler development.
B. While severe or frequent tantrums may warrant further evaluation, they typically do not require a psychological consult.
C. Temper tantrums are indeed the toddler's attempt to gain control of a situation. This behavior is part of normal development as they test boundaries and assert independence.
D. Leaving the room during a tantrum might sometimes be appropriate, but it's important to ensure the child's safety and address the behavior constructively.
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