Which is recommended as helpful in minimizing allergy to house dust mites?

Correct Answer: D

Rationale: The correct answer is D) Keeping household humidity to less than 50% because maintaining low humidity levels helps to minimize the growth of house dust mites, a common trigger for allergies in children. House dust mites thrive in humid environments, so reducing humidity can help decrease their presence in the home. This is a key strategy in managing allergies in pediatric patients. Option A) Maximizing time spent in a single room such as the bedroom is incorrect because it does not address the root cause of the allergy, which is the presence of house dust mites throughout the home. Option B) Washing bedding weekly in cold water can help reduce dust mites, but it is not as effective as controlling humidity levels in the home. Option C) Installing new carpet can actually worsen allergies as carpets can harbor dust mites and other allergens, increasing exposure for the child. Educationally, it's important for pediatric nurses to understand the environmental factors that can exacerbate allergies in children and to provide evidence-based recommendations to families on how to minimize allergens in the home. By knowing the correct strategies to manage allergies, nurses can better support pediatric patients and their families in improving their quality of life and reducing allergy symptoms.

Correct Answer: D

Rationale: In pediatric nursing, it is crucial to have a comprehensive understanding of common pediatric health conditions, including allergies. Oral allergy syndrome (OAS) is a condition where individuals experience allergic reactions in the mouth and throat after consuming certain raw fruits, vegetables, or nuts. In this case, the correct answer is D) Peanuts because peanuts are not commonly associated with OAS. Apples (Option A), carrots (Option B), and celery (Option C) are all common culprits of OAS. These foods share similar proteins with pollen, leading to cross-reactivity in individuals with pollen allergies. When these raw fruits and vegetables are consumed, individuals may experience itching, tingling, or swelling in the mouth and throat. Educationally, understanding the triggers and symptoms of OAS is essential for pediatric nurses to provide appropriate care and guidance to patients and their families. By differentiating between common causes and less common culprits like peanuts, nurses can effectively educate on allergen avoidance and management strategies. This knowledge is vital in promoting the health and well-being of pediatric patients with allergies.

Correct Answer: B

Rationale: In this pediatric nursing practice question, option B is the correct answer because rashes and diarrhea after ingestion of fruit juices usually do not have an immunologic basis. This is important to note because not all adverse reactions to foods are due to immunologic responses. Understanding this helps healthcare providers differentiate between different types of food reactions and provide appropriate care. Option A is incorrect because many adverse reactions to foods do have an immunologic basis, especially in cases of food allergies. Option C is incorrect because positive skin test results do not always need to be confirmed by a food challenge; sometimes the skin test alone is sufficient for diagnosis. Option D is incorrect because not all persons with IgE-mediated food reactions will consistently have positive skin test results; some may have negative skin tests but still experience allergic reactions. Educationally, this question highlights the importance of understanding the various mechanisms behind allergic reactions to foods in pediatric patients. By knowing the nuances of food allergies and immune responses, healthcare providers can accurately diagnose, treat, and manage pediatric patients with food allergies, ultimately improving patient outcomes and quality of care.

Correct Answer: B

Rationale: The correct site of the paddles of the defibrillator is option B) At the apex and the right infraclavicular area. Explanation: - Placing the paddles at the apex (lower tip of the heart) allows for effective delivery of the electrical shock to the heart. - The right infraclavicular area is the optimal placement for the second paddle to ensure the electrical current passes through the heart in the most effective manner. Why others are wrong: - Option A (At the apex and lower end of sternum) is incorrect as placing the paddle at the lower end of the sternum does not target the heart directly. - Option C (At the apex and the left parasternal area) is incorrect as the left parasternal area is not the optimal location for the second paddle. - Option D (At the apex and the left infraclavicular area) is incorrect as the left infraclavicular area is not the recommended placement for the second paddle. Educational context: Understanding the correct placement of defibrillator paddles is crucial in pediatric nursing practice to ensure effective treatment during cardiac emergencies. Proper placement ensures that the electrical shock reaches the heart efficiently and can potentially save a child's life in a critical situation. Nurses must be familiar with pediatric defibrillation protocols to provide safe and effective care to pediatric patients in need of resuscitation.

Correct Answer: C

Rationale: In pediatric basic life support, activating the basic life support chain (Option C) is the correct action to take when a child collapses. This is because initiating the chain of survival is crucial in providing timely and effective care to the child. Activating the basic life support chain involves calling for help, starting CPR, and using an AED if available. This sequence of actions increases the chances of survival for the child. Option A, giving oxygen early, is incorrect because in basic life support for a collapsed child, the priority is to start chest compressions. Oxygen administration is important but is not the initial step in pediatric basic life support. Option B, the rescuer being a medical person, is also incorrect because anyone can perform basic life support, and it is essential for all individuals to have the knowledge and skills to provide immediate assistance in such situations. Option D, beginning with a DC shock, is incorrect because defibrillation is not the initial step in pediatric basic life support. Chest compressions and establishing a proper airway are the primary interventions needed. In an educational context, understanding the sequence of actions in pediatric basic life support is vital for healthcare providers, caregivers, teachers, and anyone who may encounter a child in cardiac arrest. By knowing the correct steps to take, individuals can effectively intervene and potentially save a child's life in an emergency situation. Training in pediatric basic life support equips individuals with the necessary skills and confidence to respond appropriately in such critical scenarios.