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A 5-year-old is seen in the urgent care clinic with the following history and
symptoms: sudden onset of severe sore throat after going to bed, drooling and
difficulty swallowing, axillary temperature of 102.2°F (39.0°C), clear breath
sounds, and absence of cough. The child appears anxious and is flushed. Based on
these symptoms and history, the nurse
anticipates a diagnosis of
ANSWERS: Acute epiglottis
A 5-year-old child is brought to the emergency department with abrupt
onset of sore throat, pain with swallowing, fever, and sitting upright and
forward. Acute epiglottitis is suspected. What are the most appropriate nursing
interventions? Select all that apply.
ANSWERS:
-Vital signs
-Medical history
-Assessment of breath sounds
-Ready availability of emergency airway equipment
What is an important nursing intervention in the care of a child with bacterial
conjunctivitis?
ANSWERS: Intermittent warmth, moist compresses to remove crusts on the eye
area
, The school nurse is concerned about an outbreak of chickenpox, because two
children at the school have cancer and are immunodeficient as a result of
chemotherapy. What is the most appropriate recommendation the school
nurse can give to the two children’s
parents?
ANSWERS: Administer varicella zoster immune globulin (VZIG) to prevent
chickenpox
An infant has a low-grade fever, is sneezing, has tearing eyes, and exhibits a short
and rapid cough that occurs mainly at night and is followed by a crowing
sound. Which
nursing actions are appropriate for this patient? Select all that apply.
ANSWERS:
- Provide humidified oxygenation and suction
- Place the patient on droplet precautions
Strict isolation is required for a child who is hospitalized with which infectious
disease?
ANSWERS: Chickenpox
How can the nurse prepare a child for a painful procedure?
ANSWERS: Involve the child in the use of distraction, such as using bubbles, music,
or playing games
, The nurse works in a vaccination clinic. Which patients should receive the
measles, mumps, and rubella (MMR) vaccine? Select all that apply.
ANSWERS:
- A 12-month-old baby with a cold
- A 14-month-old baby allergic to eggs
- A breastfeeding mother
Which childhood vaccine provides some protection against bacterial
meningitis, epiglottitis, and bacterial pneumonia?
ANSWERS: Hib vaccine
A nurse is preparing to assess a preschooler. Which of the following actions
should the nurse take to prepare the child?
ANSWERS: Allow the child to role play using mini equipment
An infant with a congenital heart defect is being given palivizumab.
ANSWERS: Prevent RSV infection
Two parents bring their 4-month-old infant in for a well-baby visit. They are
describing the child's growth and development to the nurse during the
assessment interview. Which
parent statement below indicates a potential delay in milestone development?
ANSWERS: "Our child has not made attempts to speak words yet, but he does coo
and laugh"