The appropriate treatment of the 3-year-old in Question 11 is

Correct Answer: D

Rationale: The correct answer for the treatment of the 3-year-old in Question 11 being D) catheter snare removal is based on the scenario presented, which likely involves a foreign body being lodged in the airway. In pediatric respiratory emergencies, prompt removal of the obstruction is crucial to ensure adequate oxygenation. Catheter snare removal is a method commonly used to extract foreign bodies from the airway in pediatric patients, as it allows for precise and controlled retrieval. Option A) amoxicillin is an antibiotic and not appropriate for the immediate treatment of an airway obstruction. Option B) hydrogen peroxide is a disinfectant and should not be used in the airway. Option C) local anesthesia followed by suction is not suitable for acute airway obstruction in a pediatric patient. In an educational context, it is essential for nurses to be well-versed in pediatric respiratory emergencies, including the appropriate interventions for airway obstructions. Understanding the correct treatment modalities can make a significant difference in the outcomes of pediatric patients experiencing respiratory distress. Nurses must be prepared to act quickly and decisively in such critical situations to ensure the safety and well-being of their young patients.

Correct Answer: D

Rationale: The correct answer is D) bacterial tracheitis. This condition is not typically included in the differential diagnosis for pediatric patients with respiratory issues related to the larynx. Bacterial tracheitis presents with distinct symptoms such as high fever, barking cough, and toxic appearance, whereas the other options are more commonly associated with laryngeal issues in pediatric patients. A) Laryngeal papillomatosis is caused by HPV and presents with hoarseness and respiratory distress in children. B) Laryngeal hemangioma is a vascular lesion that can cause airway obstruction and stridor. C) Laryngeal web is a congenital anomaly that can cause respiratory distress in infants. Understanding the differential diagnosis for pediatric respiratory conditions is crucial for nurses preparing for the NCLEX exam and in clinical practice. Recognizing the distinguishing features of each condition helps in prompt diagnosis and appropriate management, ensuring optimal patient outcomes.

Correct Answer: C

Rationale: In this scenario, the correct treatment of choice for the patient is C) rigid bronchoscopy. Rigid bronchoscopy is the most appropriate intervention for a patient with a respiratory issue that requires direct visualization and potential intervention within the airway. It allows for the removal of foreign bodies, evaluation of airway anatomy, and intervention if needed. Option A) steroids are often used in the treatment of inflammation in various respiratory conditions like asthma, but they would not be the immediate treatment of choice in a situation requiring direct airway intervention. Option B) albuterol is a bronchodilator commonly used in conditions like asthma to relieve bronchospasm but is not the primary treatment for a patient needing airway intervention. Option D) postural drainage is a technique used in conditions like cystic fibrosis to assist with mucous clearance but would not be the primary treatment in a scenario requiring direct airway intervention. In an educational context, understanding the appropriate interventions for pediatric respiratory issues is crucial for nursing practice. Rigid bronchoscopy is a specialized procedure that requires skilled professionals and is essential in managing certain respiratory emergencies in children. Nurses need to have a solid understanding of respiratory procedures to provide safe and effective care to pediatric patients.

Correct Answer: C

Rationale: The correct answer is option C: Your child will need oral penicillin for 10 days and should feel better in a few days. Rationale: Strep throat is caused by group A Streptococcus bacteria, and the treatment of choice is oral penicillin for a full course of at least 10 days to completely eradicate the infection and prevent complications. Penicillin is effective in treating strep throat and helps to reduce the risk of spreading the infection to others. Option A is incorrect because strep throat requires antibiotic treatment to prevent complications such as rheumatic fever or kidney inflammation. Bedrest alone will not adequately treat the infection. Option B is incorrect as tonsillectomy is not the first-line treatment for strep throat. Tonsillectomy is considered only if the child has recurrent episodes of strep throat despite appropriate antibiotic treatment. Option D is incorrect as hospitalization and intravenous antibiotics are typically reserved for severe cases of strep throat with complications such as abscess formation or difficulty swallowing. Most cases of strep throat can be effectively treated on an outpatient basis with oral antibiotics. Educational context: It is crucial for nursing students preparing for the NCLEX to understand the appropriate treatment for common pediatric conditions like strep throat. By knowing the correct treatment regimen, nurses can provide optimal care, prevent complications, and educate families on the importance of completing the full course of antibiotics to ensure complete recovery and prevent the spread of infection. Understanding the rationale behind treatment options helps nurses make informed clinical decisions and deliver safe and effective care to pediatric patients.

Correct Answer: C

Rationale: The correct answer is option C) You can give your child Tylenol every 4 to 6 hours as needed for pain. Rationale: - Viral tonsillitis is not treated with antibiotics (option A) as it is caused by a virus, not bacteria. Antibiotics are only effective against bacterial infections. - Scheduling a follow-up appointment in 2 weeks (option B) is not the immediate action needed for viral tonsillitis. Addressing the child's symptoms and providing comfort are more pressing concerns. - Giving Tylenol for pain relief (option C) is appropriate as viral tonsillitis can cause discomfort and fever in children. - Placing warm towels around the child's neck (option D) may provide some comfort but does not address the pain directly as Tylenol would. Educational context: It is crucial for nurses and parents to understand the appropriate management of viral tonsillitis in children. Educating parents on symptomatic relief measures like pain management with Tylenol can help alleviate the child's discomfort. This knowledge empowers parents to provide appropriate care at home and prevents unnecessary antibiotic use, which contributes to antibiotic resistance.