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) Lead poisoning: Chelation therapy effectively removes heavy metals like lead from the body.

b) Pancreatic infections: Chelation therapy is not a standard treatment for pancreatic infections.

c) Hyperbilirubinemia: Phototherapy or other approaches are used for managing elevated bilirubin levels, not chelation therapy.

d) Aspirin ingestion: Management of aspirin ingestion typically involves supportive care or activated charcoal, not chelation therapy.

A. Handwashing is the most important factor in reducing the spread of the virus B. We understand that early treatments with gamma-globulins can help our child C. We will clean contaminated surfaces with bleach D. We should feed our child a high-fat diet

Correct Answer is D

Explanation

a) Handwashing is the most important factor in reducing the spread of the virus: Correct, hand hygiene is crucial in preventing the transmission of Hepatitis A.

b) We understand that early treatments with gamma-globulins can help our child: Correct, gamma-globulin treatment can offer passive immunity.

c) We will clean contaminated surfaces with bleach: Correct, using bleach is effective in disinfecting contaminated surfaces.

d) We should feed our child a high-fat diet: Hepatitis A does not require a high-fat diet. In fact, a low-fat diet is often recommended during the acute phase of the illness to reduce stress on the liver. This statement indicates a need for further education.

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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

Chelation therapy is an effective treatment for which condition?

Correct Answer is A

Explanation

The nurse is teaching the parents of a child diagnosed with Hepatitis A about care and prevention of transmission. Which of the following statements by the parents indicate more education is needed?

Correct Answer is D

Explanation

A teenager has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching about the disease, the nurse explains that the teenager needs to avoid which typical teenage activity?

igns indicating vision impairment in a child (Select All That Apply: SATA):

A child presents to the ER with anemia and leukocytosis. The physician suspects juvenile arthritis. What other physical findings will the nurse assess that relate to diagnosis? SATA

The nurse for an 8-year-old is trying to encourage developmental growth. What activity can the nurse provide for the child to encourage his sense of industry?

Which of the following is a major clinical manifestation of rheumatic fever (RF)?

An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?

An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?