Nursing Elites

1. A 6-year-old child with a history of asthma is brought to the clinic with complaints of wheezing and shortness of breath. The nurse notes that the child is using accessory muscles to breathe. What should the nurse do first?

• A. Administer a bronchodilator
• B. Obtain a peak flow reading
• C. Apply oxygen
• D. Perform a complete respiratory assessment

Correct answer: A

Rationale: Administering a bronchodilator is the initial priority as it helps open the child's airways, reducing the wheezing and shortness of breath. This intervention aims to provide immediate relief and improve the child's respiratory distress. Obtaining a peak flow reading or applying oxygen may be necessary after administering the bronchodilator, but the priority is to address the acute symptoms of wheezing and shortness of breath first. Performing a complete respiratory assessment can be done after the immediate intervention of administering the bronchodilator to further evaluate the child's respiratory status.

2. The nurse finds a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the XXXX, the infant is still not breathing. What action should the nurse take next?

• A. Palpate the femoral pulse and check for regularity.
• B. Deliver cycles of 30 chest compressions and 2 breaths.
• C. Give two breaths that make the chest rise.
• D. Feel the carotid pulse and check for adequate breathing.

Correct answer: C

Rationale: In a scenario where a 6-month-old infant is unresponsive and not breathing after the airway is open, giving two breaths that make the chest rise is the appropriate action. This helps deliver oxygen to the infant's lungs and can help initiate breathing. Chest compressions are not recommended for infants as the first step in resuscitation. Checking pulses like the femoral or carotid pulse is not the priority when an infant is not breathing, as providing oxygen through breaths is essential.

3. The healthcare provider is providing postoperative care to a 7-year-old child who had surgery for appendicitis. The child is experiencing pain at the surgical site. What is the healthcare provider's priority action?

• A. Administer the prescribed pain medication
• B. Encourage the child to take deep breaths
• C. Apply a warm compress to the surgical site
• D. Reposition the child to a more comfortable position

Correct answer: A

Rationale: Administering the prescribed pain medication is crucial to effectively manage the child's postoperative pain. Pain management is a priority to ensure the child's comfort and promote healing following surgery. Encouraging deep breaths, applying warm compresses, or repositioning the child may help, but addressing the pain with medication is the initial and most vital intervention.

4. When should oral hygiene practices start for an infant according to the American Dental Association guidelines?

• A. There is no need to begin until after all of the child's baby teeth are in.
• B. You don't have to worry about that until your child can handle a toothbrush.
• C. You can begin now using toothpaste on a gauze pad and wiping the gums.
• D. Begin wiping the teeth with a washcloth and water when the first tooth appears.

Correct answer: D

Rationale: According to the American Dental Association guidelines, oral hygiene practices should start as soon as the first tooth appears. At this stage, using a soft cloth and water to clean the infant's gums and teeth is recommended to establish good oral hygiene habits early on and prevent dental issues. Choice A is incorrect as waiting until all baby teeth are in is too late for starting oral hygiene practices. Choice B is incorrect as it is essential to start oral hygiene before the child can handle a toothbrush. Choice C is incorrect as using toothpaste on a gauze pad is not recommended for infants with emerging teeth.

5. The parents of a 9-month-old infant are being educated about preventing iron deficiency anemia. Which statement by the parent indicates a correct understanding of the teaching?

• A. I will start giving my baby whole cow’s milk at 12 months
• B. I will give my baby iron-fortified cereal
• C. I will give my baby fruit juice between meals
• D. I will give my baby water with meals

Correct answer: B

Rationale: The correct answer is B: 'I will give my baby iron-fortified cereal.' Iron-fortified cereal is an excellent source of iron for infants, aiding in the prevention of iron deficiency anemia. Choice A is incorrect as whole cow’s milk should not be introduced until the child is at least 12 months old to prevent iron deficiency. Choice C is incorrect because giving fruit juice between meals can interfere with iron absorption. Choice D is incorrect as giving water with meals can decrease nutrient intake. Therefore, the best choice to prevent iron deficiency anemia in a 9-month-old infant is to give them iron-fortified cereal.

Similar Questions