A pediatric clinic nurse teaches parents how to care for their toddler who has nasal congestion. What anatomical difference between children and adults is a concern with congestion in children?
A.
Children this age should not have congestion.
B.
Larger tonsils trap mucus, leading to gagging.
C.
The narrow trachea can become obstructed easily.
D.
Phlegm can migrate into the eustachian tubes.
ANS: C
Excess mucus production can lead to airway obstruction in children due to the narrowed lumen size of their tracheas.
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The nurse is caring for a patient who is terminally ill with metastatic bone cancer. The patient tells the nurse that he is not afraid of death but does not want to be in pain and suffer before he dies
Which intervention will be most appropriate to meet this patient's wishes? a. Establish around-the-clock dosing for pain medications with additional doses for breakthrough pain. b. Assist the patient to reminisce and review his life, spending as much time as possible with loved ones. c. Use therapeutic touch, guided imagery, and soft music to put the patient at ease and relieve anxiety. d. Encourage the patient to participate in prayer and meditation along with preferred religious practices.
When you perform your nursing assessment on your medical acute-care client, she seems calm and relaxed. She readily discusses her medical condition and concerns and asks you questions
You refer her to discuss these issues in more depth with her provider. The next day you discover that she said, "I just couldn't open my mouth to say anything when the provider came in with all those medical students." Your next intervention is MOST appropriately to: a. do nothing, because the client will eventually get used to all the medical students and talk to the provider without further intervention on your part b. refer the client for a psychiatric diagnostic workup c. relieve the client of this chore by relaying the client's questions and concerns to the provider d. assess the client for social anxiety disorder
The nurse is reinforcing the importance of leg exercises with a patient who is prescribed bedrest. Which patient statement indicates that teaching has been effective?
a. "Prepare for ambulation." b. "Promote urinary and intestinal elimination." c. "Prevent thrombophlebitis and blood clot formation." d. "Decrease the likelihood of pressure ulcer formation."
The nurse explains that pernicious anemia is caused by:
a. an iron deficiency. b. a deficiency of vitamin B12. c. inadequate nutrition. d. blood loss.