Which of the ff symptoms should a nurse assess in a client when implementing interventions for trauma to the upper airway?

Correct Answer: D

Rationale: When implementing interventions for trauma to the upper airway, it is crucial for the nurse to assess for the presence of laryngospasm. Laryngospasm is a sudden spasm of the vocal cords that may cause difficulty breathing and in severe cases, complete airway obstruction. It is a serious and potentially life-threatening complication that can occur following upper airway trauma. Therefore, prompt recognition and treatment of laryngospasm are essential to ensure adequate oxygenation and ventilation for the client. Pain when talking, increased nasal swelling, and burning in the throat may also be symptoms encountered in upper airway trauma, but the presence of laryngospasm signifies a more critical condition requiring immediate intervention.

Correct Answer: C

Rationale: Toilet training typically takes around 6 months, though this varies from child to child.

Correct Answer: E

Rationale: Hepatitis C infection is not a recognized risk factor for hepatoblastoma.

Correct Answer: B

Rationale: Dilated pupils can cause increased sensitivity to light, leading to discomfort or visual disturbances. Wearing sunglasses can help protect the eyes from bright light and reduce potential discomfort for the patient. This safety instruction is important to promote the patient's comfort and prevent any potential harm due to light sensitivity.

Correct Answer: B

Rationale: Further history is needed to rule out behavioral or psychological issues.