A nurse is teaching home care to the parents of a preschool-age child who has heart failure.
Which of the following information should the nurse include in the teaching?
Increase the child's oxygen flow rate until the child no longer has cyanosis.
Weigh the child once each month.
Withhold digoxin if the child's pulse is greater than 100/min.
Provide for periods of rest.
The Correct Answer is D
Provide for periods of rest.
Children with heart failure may have trouble breathing, especially with activity, and may feel tired.
It is important for them to have periods of rest to help manage their symptoms.
Choice A is wrong because increasing the child’s oxygen flow rate should be done under the guidance of a healthcare provider.
Choice B is wrong because it is important to monitor the child’s weight more frequently than once a month.
Choice C is wrong because digoxin is a medication that can help the heart beat stronger with a more regular rhythm and should not be withheld based on pulse rate alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Scabies is a highly contagious skin condition caused by mites and can spread easily through close physical contact.
It is important to treat everyone who came into close contact with the child to prevent reinfestation.
Choice A is wrong because ketoconazole shampoo is used to treat fungal infections of the scalp, not scabies.
Choice C is wrong because while it is important to clean combs and brushes, soaking them in boiling water for 10 minutes may not be necessary.
Choice D is wrong because petroleum jelly is not an effective treatment for scabies.
Correct Answer is D
Explanation
Cleanse the gums with saline-soaked gauze.
This can help keep the mouth moist and clean, which is important for preventing infection and promoting healing of oral ulcers caused by chemotherapy.
Choice A is wrong because routine oral care should be performed more frequently than every 8 hours.
Choice B is wrong because lemon glycerin swabs can dry out and irritate the mucosa.
Choice C is wrong because oral viscous lidocaine should not be used in children due to the risk of toxicity.
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