Which of the following respiratory conditions is always considered a medical emergency?

Correct Answer: C

Rationale: Epiglottiditis is always considered a medical emergency due to the potential risk of airway obstruction. The epiglottis is a flap of tissue that prevents food and liquids from entering the airway during swallowing. If the epiglottis becomes inflamed or infected, it can swell and block the airway, making it difficult or impossible for the person to breathe. This obstruction can rapidly progress to a life-threatening situation if not treated promptly. Therefore, epiglottiditis requires immediate medical attention to ensure the airway remains open and the individual can breathe properly.

Correct Answer: B

Rationale: Hip dysplasia in infants is often managed initially with a Pavlik Harness, which helps maintain the hips in the correct position for optimum development. The Pavlik Harness is typically worn for a period of 3 to 5 months, depending on the severity of the hip dysplasia and the response to treatment. If the dysplasia is more severe or does not respond well to the Pavlik Harness, further interventions such as hip spica casting or surgery may be required, but the initial treatment is usually with the Pavlik Harness.

Correct Answer: D

Rationale: The most common symptom of Juvenile Rheumatoid Arthritis (JRA) that causes a patient to seek medical attention is pain. Joint pain is a hallmark symptom of JRA and can range from mild discomfort to severe pain. This pain can be persistent or intermittent, and it often worsens with movement or activity. Pain is a significant factor that leads patients to seek medical evaluation in order to diagnose and manage their condition. While joint swelling, limited movement, and fatigue are also common symptoms of JRA, pain is typically the primary reason patients seek medical attention.

Correct Answer: B

Rationale: Hemophilia is an X-linked recessive disorder where the genes responsible for blood clotting factors are located on the X chromosome. This disorder primarily affects males, as they have only one X chromosome. Females are carriers and can pass the gene on to their sons. Hemophilia results in prolonged bleeding episodes as the blood is unable to clot properly. Thalassemia, leukemia, and sickle cell anemia are not X-linked disorders. Digoxin is a medication used for heart conditions, not related to X-linked disorders.

Correct Answer: B

Rationale: While a child with nephrotic syndrome is confined to bed, changing their position frequently is an appropriate nursing intervention to prevent complications associated with immobility. Constant pressure on certain areas of the body can lead to skin breakdown, discomfort, and decreased circulation which can exacerbate the child's condition. Changing positions frequently helps prevent these complications and promotes circulation and comfort. Restraints should only be used when necessary for the safety of the child or others, passive rang-of-motion exercises should be done more frequently than once a day to prevent contractures, and discouraging parents from holding their child can have negative emotional and psychological effects on the child's well-being.