The parent of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the pediatrician did not prescribe antibiotics. Which response would the nurse make?
The child is too young to receive antibiotics
"Antibiotics are not indicated unless a bacterial infection is present.
The child may be allergic to antibiotics.
The child still has the maternal antibodies from birth and does not need antibiotics
The Correct Answer is B
A. The child is too young to receive antibiotics: This statement doesn't address the actual reason for not prescribing antibiotics for croup, which is primarily due to its viral nature.
B. "Antibiotics are not indicated unless a bacterial infection is present."
Explanation:
Viral laryngotracheobronchitis, commonly known as croup, is typically caused by a viral infection, most commonly by the parainfluenza virus. Antibiotics are not effective against viruses. Therefore, unless a bacterial infection is also present, prescribing antibiotics is not necessary or beneficial in treating croup.
C. The child may be allergic to antibiotics: While antibiotic allergies are a consideration, it doesn't explain why antibiotics are not prescribed for viral illnesses like croup.
D. The child still has the maternal antibodies from birth and does not need antibiotics: Maternal antibodies can offer some protection against infections, but the primary reason for not using antibiotics in viral infections like croup is because antibiotics are ineffective against viruses.
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Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. The child and family will integrate diabetes care into patterns of daily activity:
Correct Answer: Correct.
Explanation: Integrating diabetes care into daily activities helps the child manage their condition more effectively. This goal encourages normalization of the routine, making it easier for the child to participate in social events.
B. The child and family will discuss all aspects of the illness and its treatments:
Correct Answer: Correct.
Explanation: Open communication about the illness and its treatments is crucial for understanding and managing diabetes. This goal promotes family education and support, which can help alleviate concerns.
C. The child will use effective coping mechanisms to manage anxiety:
Correct Answer: Correct.
Explanation: Managing anxiety is important for overall well-being. Teaching the child effective coping mechanisms helps them navigate the emotional aspects of living with diabetes and participating in social events.
D. The child and family will discuss their concerns with the child's teachers and the school nurse:
Correct Answer: Correct.
Explanation: Communication with school personnel is essential to ensure a supportive environment for the child. Discussing concerns with teachers and the school nurse promotes awareness and collaboration in managing the child's diabetes at school.
E. The child's normal growth and development will be maintained:
Correct Answer: Correct.
Explanation: Maintaining normal growth and development is a crucial goal. It ensures that the child can engage in age-appropriate activities and social events while managing their diabetes effectively.
Correct Answer is C
Explanation
A. "The immunization schedule will need to be altered."
Incorrect: This is too vague and does not provide specific information about the child's immunization schedule.
B. "The child will receive all of the immunizations except for the polio series."
Incorrect: There is no indication that the child should not receive the polio vaccine. Children with cystic fibrosis are generally recommended to receive all appropriate vaccinations.
C. "The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination."
Correct Answer: Children with cystic fibrosis should receive the recommended basic series of immunizations, including vaccines for diseases such as diphtheria, pertussis, tetanus, measles, mumps, rubella, polio, Haemophilus influenzae type b (Hib), hepatitis B, and others. Additionally, they should receive a yearly influenza vaccination to help prevent respiratory complications.
D. "The child should not receive any hepatitis vaccines."
Incorrect: There is no general contraindication for children with cystic fibrosis to receive hepatitis vaccines. The nurse should recommend the appropriate vaccines, including those for hepatitis B, as per the standard immunization schedule.
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