The nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?
A cough that accompanies a cold should not be suppressed.
An antibiotic is prescribed for children younger than 5 years of age.
Typically, the child will pull the ear when a cold is present.
Healthy children rarely have more than one cold per year.
The Correct Answer is A
A. Coughing helps to clear mucus from the airways, and suppressing it can lead to complications such as mucus buildup and infection.
B. Antibiotics are not prescribed for viral infections like the common cold unless there is a secondary bacterial infection.
C. Ear pulling may indicate ear discomfort or infection, but it is not a typical response to nasopharyngitis alone.
D. It is normal for young children to have multiple colds per year due to their developing immune systems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This site is used most often to obtain a pulse in infants during CPR or blood pressure measurement, but it does not provide the most accurate heart rate assessment.
B. The radial artery is not typically used in infants because it is less accessible and not as easily palpated in this age group.
C. The apical pulse (measured with a stethoscope at the 4th intercostal space, left midclavicular line) is the most accurate site for infants and children under 2 years old. It directly reflects the heart’s activity and is less affected by peripheral perfusion.
D. The carotid artery is not typically used for assessing the heart rate in infants due to the risk of applying excessive pressure.
Correct Answer is B
Explanation
A. Encouraging deep breathing is important for preventing pulmonary complications but is not the priority in managing a vaso-occlusive crisis.
B. Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.
C. Active range-of-motion exercises are important but are not a priority during an acute vaso-occlusive crisis.
D. A protein-rich diet supports overall health but is not immediately relevant to the acute management of a vaso-occlusive crisis.
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