How should the nurse respond to a parent concerned about their child’s lack of appetite during nasopharyngitis?

Correct Answer: A

Rationale: In addressing a parent's concern about their child's lack of appetite during nasopharyngitis, the correct response is option A) "Do not be concerned; it is common for children to have a decreased appetite during a respiratory illness." This response is appropriate because it provides reassurance based on the understanding that respiratory illnesses often lead to decreased appetite in children. Option B is not as strong because while ensuring adequate fluid intake is important, it may not directly address the parent's concern about their child's lack of appetite. Option C is also not ideal as simply offering favorite foods may not be effective in improving appetite during an illness. Option D is incorrect as forcing a child to eat can lead to negative associations with food and may not be necessary during a temporary decrease in appetite due to illness. Educationally, it is important for nurses to understand the physiological impact of respiratory illnesses on children, including how these illnesses can affect appetite. Providing parents with accurate information and reassurance can help alleviate their concerns and promote better understanding of their child's health. It is essential for nurses to communicate effectively with parents to support them in caring for their sick child and to promote a trusting nurse-parent relationship.

Correct Answer: C

Rationale: In this scenario, the correct breathing exercise for an asthmatic 3-year-old to increase her expiratory phase is option C) Blow a pinwheel. This exercise promotes prolonged exhalation which can help in the management of asthma symptoms by preventing air trapping in the lungs. Using an incentive spirometer (option A) is more suitable for adults or older children as it requires a certain level of understanding and cooperation which may be challenging for a 3-year-old. Breathing into a paper bag (option B) can potentially be dangerous for a child with asthma as it can lead to a build-up of carbon dioxide in the body. Taking several deep breaths (option D) may not specifically target the expiratory phase and may not be as effective as the pinwheel exercise for this purpose. Educationally, it is important to understand the rationale behind choosing appropriate breathing exercises for children with respiratory conditions to ensure their safety and maximize the effectiveness of the intervention. By selecting the right exercise, healthcare providers can help children improve their lung function and manage their respiratory symptoms more effectively.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Your child will complete a course of intravenous antibiotics. Epiglottitis is a serious condition characterized by inflammation of the epiglottis, which can lead to airway obstruction and respiratory distress. Prompt administration of intravenous antibiotics is crucial to treat the bacterial infection causing epiglottitis and prevent complications. Option B) Your child will undergo surgery to remove the tonsils is incorrect because epiglottitis is not treated by removing the tonsils. Tonsillectomy is a surgical procedure done for recurrent tonsillitis or obstructive sleep apnea, not for epiglottitis. Option C) Your child will receive 10 days of aerosolized ribavirin is incorrect because ribavirin is an antiviral medication used for certain respiratory infections like respiratory syncytial virus (RSV), not for bacterial infections like epiglottitis. Option D) No intervention is necessary is incorrect and dangerous as epiglottitis is a medical emergency requiring immediate intervention to secure the airway and provide appropriate treatment. In an educational context, it is essential for healthcare providers to recognize the signs and symptoms of epiglottitis in children and understand the appropriate management, which includes antibiotics, airway management, and supportive care to ensure positive outcomes and prevent respiratory compromise.

Correct Answer: A

Rationale: The correct answer is A) I should make sure that both my children receive Synagis (palivizumab) injections for the remainder of this year. This statement indicates a lack of understanding of RSV prevention measures. Synagis is not a preventive measure for healthy siblings; it is specifically for high-risk infants. Option B is a correct preventive measure to prevent the spread of RSV within the household. Isolating the infected child can help prevent transmission to other siblings. Option C is a good preventive measure as hand hygiene is crucial in preventing the spread of infections, including RSV. However, it is not the most critical in this scenario. Option D is also a valid preventive measure. Restricting contact with individuals who have respiratory illnesses can help reduce the risk of transmitting RSV to other children. In an educational context, it is important to teach parents accurate and evidence-based preventive measures for RSV. Understanding the appropriate use of medications like Synagis and implementing effective infection control practices can significantly reduce the spread of respiratory illnesses among children. Parents should be empowered with the knowledge to make informed decisions about their children's health and well-being.