A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

Continuously monitor the child's respiratory status.

Administer pancreatic enzymes with meals.

Assess the child for frequent swallowing.

Carefully suction the child's oropharynx to remove secretions.

Answer and Explanation

The Correct Answer is A

A. Correct. Epiglottitis can cause airway obstruction, so continuous respiratory monitoring is crucial to detect any signs of respiratory distress.

B. Incorrect. Administering pancreatic enzymes is not relevant to epiglottitis.

C. Incorrect. Frequent swallowing assessment is not the priority for epiglottitis. Airway management is.

D. Incorrect. Suctioning may be necessary, but continuous respiratory monitoring takes precedence.

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Correct Answer is C

Explanation

A. Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B. Incorrect. Being overly concerned about minor details is more characteristic of obsessive-compulsive personality disorder.
C. Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D. Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.

A. Remove the client's restraint every 4 hr. B. Attach the restraint to the bed's side rails. C. Request a PRN restraint prescription for clients who are aggressive. D. Document the client's condition every 15 min.

Correct Answer is D

Explanation

A. Incorrect. Restraints should be removed and repositioned, and the client's needs assessed at a frequency that follows institutional policies, which might not always be every 4 hours.

B. Incorrect. Restraints should be attached to the bed frame, not the side rails, to minimize the risk of injury.

C. Incorrect. PRN (as needed) restraint prescriptions should be avoided. Restraints should only be used based on specific criteria and under the guidance of a healthcare provider.

D. Correct. When using restraints, it's important to document the client's condition frequently to assess for any potential adverse effects or discomfort.

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A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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