An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?

Place in a prone position during sleep to help breathing.

Recline when feeding to decrease work of breathing.

Administer albuterol nebulizer treatments every 4 hours.

Perform bulb syringe suction with nasal saline drops

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

Convert the child’s weight from pounds to kilograms:
- 44 pounds =
  2.244
  kg = 20 kg (rounded to the nearest tenth).
Determine the maximum daily dose based on weight:
- Maximum daily dose = 40 mg/kg/day
- Maximum daily dose for this child = 40 mg/kg × 20 kg = 800 mg/day.

Therefore, the maximum daily dose of pediatric ibuprofen for this child is 800 mg.

A. Elbow restraints B. The child's favourite toy C. Manual resuscitation bag D. A dose of subcutaneous epinephrine E. An advanced airway kit F. Nebulized albuterol

Correct Answer is ["C","E"]

Explanation

C. Manual resuscitation bag: In the case of a child with inspiratory stridor and retractions, there is a concern about airway obstruction. Having a manual resuscitation bag available is crucial to ensure that the child's airway can be effectively managed in case of respiratory distress.

E. An advanced airway kit: If the child's condition worsens and he experiences severe respiratory distress or failure, an advanced airway may be necessary to secure the airway and provide proper oxygenation. Having an advanced airway kit available is important in case intubation becomes necessary.

Incorrect answers:

A. Elbow restraints: Elbow restraints are not typically used during peripheral intravenous line placement. They are used to prevent children from bending their arms excessively after specific surgeries or procedures.

B. The child's favorite toy: While having a favorite toy might help distract the child and reduce anxiety, it is not a critical item needed for the placement of a peripheral intravenous line.

D. A dose of subcutaneous epinephrine: Subcutaneous epinephrine is not used for the placement of an intravenous line. It is typically used to treat severe allergic reactions (anaphylaxis).

F. Nebulized albuterol: Nebulized albuterol is a medication used to treat bronchospasm in conditions such as asthma. While the child is experiencing respiratory distress, the priority is to secure the airway and provide oxygenation, which may involve using a manual resuscitation bag and an advanced airway kit.

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An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Find information about a client below. The nurse collects items to replace the peripheral intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?

Correct Answer is ["C","E"]

Explanation

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