The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Dust the child's room with a damp cloth every week.

Provide down pillows for the child.

Use a warm mist humidifier in the child's room.

Encourage the child to go outside into the cold air at the start of an asthma attack.

Answer and Explanation

The Correct Answer is A

Dust the child's room with a damp cloth every week.

Choice A rationale:

Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.

Choice B rationale:

Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.

Choice C rationale:

Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.

Choice D rationale:

Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.

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Correct Answer is B

Explanation

Choice A rationale:

Strict isolation should begin immediately after exposure. This choice is incorrect because chickenpox does not require strict isolation immediately after exposure. The incubation period of chickenpox is about 10-21 days, during which communicability has not yet begun.

Choice B rationale:

Communicability begins prior to the eruption of lesions. This choice is correct. Chickenpox is highly contagious, and individuals can transmit the virus to others even before the characteristic skin lesions appear. This understanding is crucial for appropriate room assignment to prevent the spread of the virus to other patients.

Choice C rationale:

Strict isolation should begin as soon as the skin lesions erupt. This choice is incorrect. While isolation precautions are necessary for patients with active chickenpox lesions, waiting until the lesions erupt is not sufficient to prevent transmission, as communicability starts before this stage.

Choice D rationale:

Communicability begins 14 days after exposure. This choice is incorrect. The correct timing for the onset of communicability is much earlier than 14 days after exposure. Waiting until this point for isolation would not effectively prevent transmission.

A. "You will be placed in halo traction.". B. "The nurses will use a log-roll technique when you are turned.". C. "You can have nothing by mouth for 72 hours.". D. "You will not be allowed to have visitors for 48 hours.".

Correct Answer is B

Explanation

Choice A rationale:

Placing the patient in halo traction is not applicable for a scoliosis correction surgery with Harrington rods. Halo traction is typically used for cervical spine injuries or deformities, not for scoliosis correction.

Choice B rationale:

The correct answer. After Harrington rod insertion, maintaining proper alignment is crucial to prevent complications. Using a log-roll technique when turning the patient helps maintain spinal alignment and prevent stress on the surgical site.

Choice C rationale:

Keeping the patient nothing by mouth for 72 hours is not typically necessary after scoliosis surgery. Clear fluids and a light diet are usually initiated shortly after surgery.

Choice D rationale:

Restricting visitors for 48 hours is not a standard practice after scoliosis surgery unless there are specific infection control concerns, which are not mentioned in the scenario.

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The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When admitting a 4-year-old patient to the hospital, the nurse learns that the child was exposed to chicken pox three days ago. Which understanding about chicken pox should the nurse consider during room assignment?

Correct Answer is B

Explanation

A 13-year-old with severe scoliosis is admitted for insertion of Harrington rods. In preparing the patient for postoperative care, the nurse should provide which information?

Correct Answer is B

Explanation

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