A 6-year-old child with a history of asthma is brought to the clinic with complaints of wheezing and shortness of breath. The nurse notes that the child is using accessory muscles to breathe. What should the nurse do first?- Nurselytic

Question 1 of 5

A 6-year-old child with a history of asthma is brought to the clinic with complaints of wheezing and shortness of breath. The nurse notes that the child is using accessory muscles to breathe. What should the nurse do first?

A. Administer a bronchodilator B. Obtain a peak flow reading C. Apply oxygen D. Perform a complete respiratory assessment

Correct Answer: A

Rationale: Administering a bronchodilator is the initial priority as it helps open the child's airways, reducing the wheezing and shortness of breath. This intervention aims to provide immediate relief and improve the child's respiratory distress.

Question 2 of 5

A child with leukemia is admitted for chemotherapy, and the nursing diagnosis 'altered nutrition, less than body requirements related to anorexia, nausea, and vomiting' is identified. Which intervention should the nurse include in this child's plan of care?

A. Encourage a variety of large portions of food at every meal. B. Allow the child to eat any food desired and tolerated. C. Recommend eating the food as siblings eat at home. D. Restrict food brought from fast food restaurants.

Correct Answer: B

Rationale: Allowing the child to eat any food desired and tolerated is the most appropriate intervention for a child with altered nutrition due to anorexia, nausea, and vomiting. It is crucial to prioritize maintaining adequate nutritional intake, and by allowing the child to choose foods they desire and can tolerate, the chances of improving their nutritional status increase. This approach helps in ensuring that the child receives necessary nutrients during chemotherapy, even if their appetite is affected by the treatment.

Question 3 of 5

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

A. Describe the side-lying, knees to chest position that must be assumed during the procedure. B. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure.

Correct Answer: A

Rationale: Describing the position helps the child understand what to expect and reduces anxiety.

Question 4 of 5

What action should be taken by the healthcare provider for a child who has ingested a corrosive product?

A. Induce vomiting using Ipecac to remove the corrosive agent. B. Administer vinegar or lemon juice to neutralize the caustic agent. C. Give activated charcoal to decontaminate the stomach. D. Telephone the poison control center and follow their advice.

Correct Answer: D

Rationale: In cases of corrosive product ingestion, it is crucial to contact the poison control center for guidance. Inducing vomiting or attempting to neutralize the agent can lead to further harm. The poison control center professionals are trained to provide specific instructions tailored to the situation, ensuring the best possible outcome for the child.

Question 5 of 5

During a well baby visit, the parents explain that a soft bulge appears in the groin of their 4-month-old son when he cries or strains during stooling. The infant is scheduled for surgical repair of the inguinal hernia in two weeks. What should the parent be instructed to do if the hernia becomes incarcerated prior to the surgery?

A. Use a rectal thermometer to strain during stooling. B. Gently manipulate the hernia for reduction. C. Offer oral electrolyte fluids for comfort. D. Give acetaminophen or aspirin for crying.

Correct Answer: B

Rationale: In the case of an incarcerated inguinal hernia, gentle manipulation can sometimes help in reducing it before surgery. This action should be taken cautiously and immediately followed by seeking medical attention. It is important to note that attempting reduction should be done by a healthcare professional, and parents should be advised to seek urgent medical care if the hernia becomes incarcerated.

Nurselytic

HESI RN

HESI RN

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