An appropriate nursing intervention when caring for a child with pneumonia is to:
a. Encourage rest.
b. Encourage the child to lie on the unaffected side.
c. Administer analgesics.
d. Place the child in the Trendelenburg position.
ANS: A
Encouraging rest by clustering care and promoting a quiet environment is the best intervention for a child with pneumonia. Lying on the affected side may promote comfort by splinting the chest and reducing pleural rubbing. Analgesics are not indicated. Children should be placed in a semi-erect position or position of comfort.
You might also like to view...
An instructor reviews the definition of homelessness according to the McKinney Vento Homeless Assistance Act with a group of community health nursing students
The instructor determines that the students need clarification when they include which of the following as homeless? A) Someone living in a public shelter B) Someone living in a park C) Someone who is incarcerated D) Someone who lives in his car
A mode of pressure-targeted ventilation that provides positive pressure to decrease the workload of spontaneous breathing through the endotracheal tube is:
a. continuous positive airway pressure. b. positive end-expiratory pressure. c. pressure support ventilation. d. T-piece adapter.
The client with long-standing pulmonary problems is classified as having class III dyspnea. Based on this classification, what type of assistance will you need to provide for ADLs?
A. Dyspnea is minimal and no assistance is required. B. The client may complete activities of daily living without assistance but requires rest periods during performance. C. The client is severely dyspneic with activity and requires assistance for some but not all tasks. D. The client is severely dyspneic at rest and cannot participate in any self-care.
A client comes to the emergency department complaining of pain in the right lower quadrant. Rebound tenderness is present and the nurse assesses the client for referred rebound experiences
The client experiences pain the right lower quadrant. The nurse interprets this as which of the following? A) Positive Rovsing's sign B) Psoas sign C) Obturator sign D) Positive skin hypersensitivity test