A parent calls a pediatric information line to ask about treating sinus congestion in a child. Which suggestion is not appropriate for the nurse to make to the parent?

A.
Warm facial compress
B.
Cool-mist steamer
C.
Sine-Off sinus medication
D.
Gentle nasal suctioning


ANS: C
Common comfort measures for sinus or respiratory problems include a cool-mist steamer, decongestants, and gentle nasal suctioning. A warm facial compress would be more helpful. Sine-Off over-the-counter sinus medication contains salicylates, or aspirin compounds, which are not given to children due to the risk of Reye's syndrome.

Nursing

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The nurse assesses that a newborn's skin has a ruddy appearance and the peripheral pulses are decreased. The nurse suspects polycythemia. Which of the following lab reports might indicate that the newborn has polycythemia?

1. Central venous hematocrit level greater than 65% 2. Bilirubin level of 6 mg/dl 3. Venous hemoglobin level lower than 12 g/dl 4. Blood glucose level of 44 mg/dl

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The nurse is preparing a community outreach program on stress management. The nurse realizes that speaking in public requires some specific adaptations regarding: (Select all that apply.)

1. Makeup 2. Clothing attire 3. Vocal inflection 4. Voice projection 5. Physical gesturing 6. Making eye contact

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Which behavior indicates successful achievement of the major developmental tasks of a young adulthood?

a. Accepting physical changes b. Achieving emotional independence c. Mastering money management d. Getting an appropriate education

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The nurse recognizes that issues concerning death and dying may influence nursing practice. Which of the following statements is true, concerning the legalities related to death and dying?

a. Passive euthanasia is illegal in all provinces, except Manitoba. b. Assisted suicide is a constitutional right. c. Organ donation must be sought if it will save the recipient's life. d. Feedings may be refused by mentally competent individuals who are unable to feed themselves.

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