Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

You should always have an antihistamine like Benadryl with you at all times

If it happens again I will teach you what to do

I will teach how to use an epi-pen

You can start a desensitization process to take the allergy away

Answer and Explanation

The Correct Answer is C

a) Having antihistamines like Benadryl is beneficial, but in severe allergic reactions (anaphylaxis), an epinephrine auto-injector (epi-pen) is the first-line treatment and can be life-saving.

b) Waiting for the next occurrence without preparation is risky. Immediate action is crucial in severe allergic reactions.

c) Teaching how to use an epi-pen is crucial for managing severe allergic reactions. It provides rapid relief by counteracting anaphylaxis until emergency help arrives.

d) Desensitization processes are not immediate solutions and are typically conducted under medical supervision.

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Correct Answer is A

Explanation

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

A. Side lying B. Knees to chest C. Prone D. Back

Correct Answer is B

Explanation

a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.

b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.

c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.

d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.

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Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

Correct Answer is A

Explanation

You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?

Correct Answer is B

Explanation

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