The treatment of choice for the patient in Question 25 is

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) 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.

Correct Answer: C

Rationale: In a child with respiratory distress, stridor, and RSV (Respiratory Syncytial Virus), the appropriate treatment is nebulized racemic epinephrine (Option C). This intervention helps to reduce airway inflammation and swelling, thereby improving breathing and decreasing the risk of respiratory compromise. Intravenous antibiotics (Option A) are not indicated for RSV, which is a viral infection. Antibiotics are only effective against bacterial infections and would not address the underlying cause of the respiratory distress in this case. Intravenous steroids (Option B) may be used in some cases of croup or acute asthma exacerbation but are not the first-line treatment for RSV in a child with stridor and respiratory distress. Alternating doses of Tylenol and Motrin (Option D) may help to reduce fever and discomfort but do not directly address the respiratory distress and stridor associated with RSV. Educationally, understanding the appropriate treatment for common pediatric respiratory conditions like RSV is crucial for nurses and healthcare providers working with children. Knowing the rationale behind each treatment option helps in providing safe and effective care to pediatric patients with respiratory distress.

Correct Answer: D

Rationale: The correct answer is D) Administer five back blows followed by five chest thrusts. For a choking infant under 1 year old, this technique is recommended by the American Heart Association and American Academy of Pediatrics. Back blows are used first to attempt to dislodge the object, followed by chest thrusts if the object remains stuck. This sequence is safer for infants as abdominal thrusts can be harmful. Option A is incorrect because abdominal thrusts are not recommended for infants due to the risk of causing harm. Option B is also incorrect as inserting a finger into the child's mouth can push the object further down their airway. Option C, performing the Heimlich maneuver, is not recommended for infants as it can also cause harm. Educationally, it is crucial for parents and caregivers to be trained in pediatric first aid, including how to respond to choking incidents in infants. By understanding the correct techniques, they can act quickly and effectively in an emergency, potentially saving a child's life. Practicing these skills through scenarios and simulations can help reinforce the correct actions to take in such situations.

Correct Answer: A,C,D,E

Rationale: Rationale: Correct Answer: A) Providing a high-protein, high-calorie diet, C) Encouraging exercise, D) Minimizing pulmonary complications. 1. Providing a high-protein, high-calorie diet is essential for CF patients as they have increased energy needs due to the disease affecting nutrient absorption. This diet helps in maintaining weight and overall health. 2. Encouraging exercise is crucial for CF patients to improve lung function, strengthen respiratory muscles, and enhance overall physical well-being. It also helps in clearing mucus from the lungs. 3. Minimizing pulmonary complications involves various strategies like airway clearance techniques, using inhalers, and timely antibiotic therapy to prevent and manage infections that can worsen respiratory health in CF patients. Incorrect Answers: B) Providing a high-fat, high-carbohydrate diet is not recommended for CF patients as it can lead to weight gain without providing the necessary nutrients. CF patients need a balanced diet focusing on high protein and calories. Educational Context: Understanding the therapeutic management strategies for CF patients is crucial for nurses and healthcare providers working with pediatric populations. By providing a comprehensive approach that includes nutrition, exercise, and pulmonary care, we can improve outcomes and quality of life for CF patients. Educating patients and families about these strategies empowers them to actively participate in managing the disease and promoting better health.