The mother of a toddler yells to the nurse." Help! He is choking to death on his food." The nurse determines that lifesaving measures are necessary based on which of the following?
Coughing
inability to speak
Gagging
Pulse of 100 beats per minute
The Correct Answer is B
A. Coughing indicates a normal protective mechanism when the toddler is attempting to dislodge and cough out the food.
B. Inability to speak is a significant sign of choking and indicates that the airway is nearly completely obstructed.
C. Gagging shows that the toddler is partially obstructed and still attempting to dislodge the food
D. Pulse of 100 Beats per minute is not a direct indicator of choking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. This statement emphasizes to the child that they are not responsible for the abuse they have experienced, helping to alleviate feelings of guilt or self-blame. This can provide validation and comfort to the child during a traumatic experience.
A. Involving the family in the discussion might not be appropriate if the family member is the perpetrator. The safety and well-being of the child should be the priority
B. This statement may make the child feel more isolated and conflicted about their feelings toward their family. It's important to acknowledge the abuse without placing blame or judgment on the family.
D. This statement undermines the nurse's duty to report suspected cases of child abuse to the appropriate authorities. Confidentiality cannot be guaranteed in cases of suspected abuse, as healthcare professionals are mandated reporters obligated to report any suspicions or evidence of abuse to protect the child's safety and well-being.
Correct Answer is A
Explanation
Neural tube defects (NTDs) are congenital abnormalities that occur during early embryonic development when the neural tube fails to close completely. Spina bifida is one type of neural tube defect where the spinal column doesn't close all the way, resulting in spinal cord and nerve damage. It can lead to various complications, including paralysis, bladder and bowel problems, and learning difficulties. Therefore, it is an appropriate example of a neural tube defect.
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B. Cerebral palsy is a group of permanent movement disorders that appear in early childhood.
C. Muscular dystrophy is a genetic disorder characterized by progressive weakness and loss of muscle mass.
D. Hydrocephalus is a condition where there's an accumulation of cerebrospinal fluid in the brain, often due to obstruction or impaired drainage.
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