During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.
It is important for the nurse to:.

Use maternity jargon in order for the patient to become familiar with these terms.

Speak quickly and efficiently to expedite the visit.

Provide the patient with handouts.

Assess whether the patient understands the discussion.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Using maternity jargon might confuse the patient, especially if she has limited English proficiency. It is important to use simple and clear language to ensure the patient understands the information. Using jargon would not be effective in this situation.

Choice B rationale:

Speaking quickly and efficiently may further complicate communication, especially considering the patient's limited English proficiency. It is crucial to speak slowly, clearly, and allow time for the patient to process and respond. Rushing the conversation may hinder effective communication.

Choice C rationale:

Providing handouts can be helpful, but it should not be the sole method of communication, especially when dealing with a patient who has limited English proficiency. Handouts may not be available in the patient's language or may not address her specific concerns. Assessing direct understanding through conversation is essential.

Choice D rationale:

Assessing whether the patient understands the discussion is the most crucial step. This can be done through various methods, such as asking open-ended questions, using interpreters if necessary, and encouraging the patient to ask questions. Ensuring the patient comprehends the information provided is vital for her overall care and adherence to medical advice.

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Correct Answer is D

Explanation

Choice A rationale:
The child's fever in Kawasaki disease is typically unresponsive to antibiotics. The disease primarily affects blood vessels and can lead to the development of coronary artery aneurysms. Antibiotics are not the mainstay of treatment for Kawasaki disease.
Choice B rationale:
Kawasaki disease does not primarily involve the joints. It is a systemic vasculitis that affects medium-sized arteries throughout the body, including the coronary arteries. Joint involvement is not a characteristic feature of this condition.
Choice C rationale:
Aspirin is actually a crucial part of the treatment for Kawasaki disease. High-dose aspirin therapy (80-100 mg/kg/day) is administered until the child is afebrile, then the dose is reduced and continued for several weeks to prevent blood clots and inflammation in the coronary arteries.
Choice D rationale:
This is the correct answer. The therapeutic management of Kawasaki disease includes the administration of intravenous immunoglobulin (IVIG) and aspirin. IVIG helps reduce inflammation and prevent coronary artery abnormalities, while high-dose aspirin is used for its anti-inflammatory and antiplatelet effects. This combination of treatments has been shown to be effective in reducing the risk of coronary artery complications associated with Kawasaki disease.

A. Respirations are abdominal. B. Pulse and respiratory rates are slower than those in infancy. C. Defense mechanisms are less efficient than those during infancy. D. The presence of short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue.

Correct Answer is D

Explanation

Choice A rationale:
Abdominal respirations do not directly predispose toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections. Abdominal respirations are a normal breathing pattern in toddlers, transitioning from the diaphragmatic breathing seen in infants. This change is due to the toddler's increased chest wall compliance and stronger intercostal muscles, facilitating more efficient breathing.
Choice B rationale:
Slower pulse and respiratory rates in toddlers compared to infants are part of normal physiological development. Toddler's heart rates range from 70 to 110 beats per minute, and respiratory rates range from 20 to 30 breaths per minute. These rates are considered normal for toddlers and do not predispose them to frequent infections.
Choice C rationale:
Toddlers do have less efficient defense mechanisms than infants, making them more susceptible to infections. This is due to the immature immune system in toddlers, which is still developing and learning to respond to various pathogens. However, this choice is not the most important factor predisposing toddlers to frequent infections; other factors play a more significant role.
Choice D rationale:
The presence of short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue in toddlers is the most important factor predisposing them to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections. These anatomical features make it easier for bacteria and viruses to enter and infect the respiratory and ear passages, leading to recurrent infections.

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During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.It is important for the nurse to:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

Correct Answer is D

Explanation

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections?

Correct Answer is D

Explanation

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During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.
It is important for the nurse to:.