Examination of the throat in a child demonstrating signs and symptoms of acute epiglottitis may contribute to which life-threatening complication?
a. Retropharyngeal abscess
b. Laryngospasms
c. Rupturing of the tonsils
d. Gagging induced aspiration
Answer: b. Laryngospasms
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The nurse is teaching the parents of a child who is in Piaget's sensorimotor stage of development. Which parental statement indicates appropriate behavior to help the child accomplish developmental tasks of this stage?
1. "We have started buying more colorful toys." 2. "We play with water toys in the bathtub." 3. "We bought some blocks with numbers." 4. "We have been playing peek-a-boo."
A client's breast cancer was diagnosed after a mammogram. Her doctor advised a lumpectomy,
followed by radiation and chemotherapy. The client schedules consultations with the surgeon, the radiation oncologist, and the medical oncologist so that she may ask questions regarding her treatment. The coping strategy being used can be identified as a. keeping busy and distracting oneself. b. conforming and complying. c. sharing concern and finding consolation. d. seeking information and obtaining guidance.
The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. The nurse should:
1. Obtain the history of the illness from the parent. 2. Advise the parent to hang up and call 911. 3. Make an appointment for the child to see the health care provider. 4. Reassure the parent and provide instructions on home care for the child.
If a woman is at risk for thrombus, and is not ready to ambulate, nurses might intervene in all of the following except:
1. put her in TED hose and/or SCD boots. 2. flex, extend, and rotate her feet, ankles, and legs. 3. sit her in a chair. 4. notify the doctor immediately if there is a positive Homans sign.