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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Bottle-feed with diluted fruit juice:
Incorrect: Diluted fruit juice is not recommended for infants with diarrhea. Fruit juices, even when diluted, may contain sugars that can exacerbate diarrhea. It's important to focus on water or rehydration solutions.
B. Discontinue breast-feeding until the diarrhea resolves:
Incorrect: Breast milk is an essential source of nutrition for infants, and discontinuing breastfeeding is not recommended, even during episodes of mild diarrhea. Breast milk helps maintain hydration and provides essential nutrients.
C. Provide an increased intake of water.
Correct Answer: Maintaining hydration is crucial during episodes of diarrhea. Offering the infant increased water intake helps prevent dehydration. Rehydration solutions specifically designed for infants can also be recommended.
D. Avoid all solid foods:
Incorrect: While avoiding certain solid foods may be recommended in some cases, it's not necessary to completely avoid all solid foods for a 12-month-old with mild diarrhea. The emphasis should be on maintaining hydration and offering easily digestible foods.

A. A period of play in the playroom B. A video game C. A needleless syringe and a doll D. A story book about a child who has diabetes

Correct Answer is C

Explanation

A. A period of play in the playroom:
Incorrect: While play is generally therapeutic, simply engaging in general play may not directly address the child's distress related to the insulin injection.
B. A video game:
Incorrect: Playing a video game might serve as a distraction, but it may not specifically help the child cope with the distress of the injection in the way that hands-on play with a needleless syringe and a doll can.
C. A needleless syringe and a doll:
Correct Answer: Correct.
Explanation: Allowing the child to play with a needleless syringe and a doll provides a hands-on, interactive experience that can help the child become more familiar and comfortable with the idea of injections. This play activity allows the child to express and understand their feelings in a safe and controlled environment.
D. A story book about a child who has diabetes:
Incorrect: While a storybook can be educational and provide information, it may not directly address the child's immediate distress after an insulin injection. The hands-on play with a needleless syringe and a doll is more focused on the specific experience of receiving injections

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing home-care instructions to a mother of a 12-month-old infant with mild diarrhea. Which would the nurse instruct the mother to do?

Correct Answer is C

Explanation

A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?

Correct Answer is C

Explanation

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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?

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