Conclusion

Conclusion ( 6 Questions)

Question 1 :
A nurse is assessing a 2-year-old child who is hospitalized with bronchiolitis. The nurse observes that the child is restless, irritable, and has nasal flaring and intercostal retractions. The nurse should:



Correct Answer: C

Choice A reason: Asking the parents to leave the room until the child calms down is not an appropriate action, as it may increase the child's anxiety and distress, which can worsen respiratory status. The parents should be allowed to stay with the child and provide comfort and reassurance.

Choice B reason: Placing the child in a prone position with the head elevated is not an appropriate action, as it may compromise airway patency and ventilation. The child should be placed in a semi-Fowler's position or upright on the lap of a parent or caregiver.

Choice C reason: Administering oxygen via nasal cannula at 2 L/min is an appropriate action, as it can improve oxygenation and reduce respiratory distress in a child with bronchiolitis. The oxygen flow rate should be adjusted according to pulse oximetry readings and clinical signs.

Choice D reason: Offering the child a pacifier or a bottle of juice is not an appropriate action, as it may increase the risk of aspiration and dehydration in a child with respiratory distress. The child should be given small amounts of clear fluids by mouth or intravenously if oral intake is inadequate.


Join Naxlex Nursing for nursing questions & guides! Sign Up Now