11. An 18-month-old child seen in the clinic with AOM. : 1361521.
11. An 18-month-old child is seen in the clinic with AOM. Trimethoprim-sulfamethoxazole (Bactrim) is prescribed. Which statement made by the parent indicates a correct understanding of the instructions?
a. “I should administer all the prescribed medication.”
b. “I should continue medication until the symptoms subside.”
c. “I will immediately stop giving medication if I notice a change in hearing.”
d. “I will stop giving medication if fever is still present in 24 hours.”
12. An infant’s parents ask the nurse about preventing OM. Which should be recommended?
a. Avoid tobacco smoke.
b. Use nasal decongestant.
c. Avoid children with OM.
d. Bottle-feed or breastfeed in supine position.
13. The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?
a. Inspiratory stridor
b. Complete obstruction
c. Sore throat
d. Respiratory tract infection
14. Which type of croup is always considered a medical emergency?
c. Spasmodic croup
d. Laryngotracheobronchitis (LTB)
15. The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside as much as possible. The nurse’s rationale for this action is described primarily in which statement?
a. Mothers of hospitalized toddlers often experience guilt.
b. The mother’s presence will reduce anxiety and ease child’s respiratory efforts.
c. Separation from mother is a major developmental threat at this age.
d. The mother can provide constant observations of the child’s respiratory efforts.
16. A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis?
c. Viral-induced asthma
d. Acute spasmodic laryngitis
17. Which frequency is recommended for childhood skin testing for tuberculosis (TB) using the Mantoux test?
a. Every year for all children older than 2 years
b. Every year for all children older than 10 years
c. Every 2 years for all children starting at age 1 year
d. Periodically for children who reside in high-prevalence regions
18. Which consideration is the most important in managing tuberculosis (TB) in children?
a. Skin testing annually
c. Adequate nutrition
d. Adequate hydration
19. The mother of a toddler yells to the nurse, “Help! He is choking to death on his food.” The nurse determines that lifesaving measures are necessary based on which symptom?
c. Pulse over 100 beats/min
d. Inability to speak
20. The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include:
a. forcing fluids.
b. monitoring pulse oximetry.
c. instituting seizure precautions.
d. encouraging a high-protein diet.