QUESTION: 379

A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospitalization, the child was placed under an oxygen mist tent. The nurse's frequent monitoring of the child's temperature frightened her parents. Which response by the nurse would be most appropriate?

Monitoring the temperature prevents undue chilling.
Rapid temperature elevations can occur in children.
Checking the temperature will prevent febrile seizures.
Taking the child's temperature can prevent airway obstruction.

Answer(s): A

Explanation:

(A) The refrigerated cool mist tent creates a cool, moist environment. The child as well as bedding and clothing may become dampened. Monitoring the temperature of the child will ensure warmth and prevent chilling. (B) Only a low-grade fever is expected in laryngotracheobronchitis. (C) Febrile seizures are not expected with the low-grade fever. (D) Inflammation of the mucosal lining in the respiratory tract can cause airway obstruction. However, monitoring the child's temperature would not prevent airway obstruction.

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QUESTION: 379

A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospitalization, the child was placed under an oxygen mist tent. The nurse's frequent monitoring of the child's temperature frightened her parents. Which response by the nurse would be most appropriate?

Monitoring the temperature prevents undue chilling.
Rapid temperature elevations can occur in children.
Checking the temperature will prevent febrile seizures.
Taking the child's temperature can prevent airway obstruction.

Answer(s): A

Explanation:

(A) The refrigerated cool mist tent creates a cool, moist environment. The child as well as bedding and clothing may become dampened. Monitoring the temperature of the child will ensure warmth and prevent chilling. (B) Only a low-grade fever is expected in laryngotracheobronchitis. (C) Febrile seizures are not expected with the low-grade fever. (D) Inflammation of the mucosal lining in the respiratory tract can cause airway obstruction. However, monitoring the child's temperature would not prevent airway obstruction.

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QUESTION: 380

A 14-year-old client has a history of lying, stealing, and destruction of property. Personal items of peers have been found missing. After group therapy, a peer approaches the nurse to report that he has seen the 14- year-old with some of the missing items. The best response of the nurse is to:

Request that he explain to the group why he took personal items from peers
Approach him when he is alone to inquire about his involvement in the incident
Imply to him that you doubt his involvement in the incident and request his denial
Confront him openly in group and request an apology

Answer(s): B

Explanation:

(A) This answer is incorrect. There is no proof that he removed the missing items. (B) This answer is correct. Anxiety and defensiveness are lessened if the individual is approached in this manner. (C) This answer is incorrect. It is difficult for one to admit to wrongdoing with this approach. (D) This answer is incorrect. He has not yet been proved guilty. Confrontation will only increase defensiveness and anxiety.

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QUESTION: 380

A 14-year-old client has a history of lying, stealing, and destruction of property. Personal items of peers have been found missing. After group therapy, a peer approaches the nurse to report that he has seen the 14- year-old with some of the missing items. The best response of the nurse is to:

Request that he explain to the group why he took personal items from peers
Approach him when he is alone to inquire about his involvement in the incident
Imply to him that you doubt his involvement in the incident and request his denial
Confront him openly in group and request an apology

Answer(s): B

Explanation:

(A) This answer is incorrect. There is no proof that he removed the missing items. (B) This answer is correct. Anxiety and defensiveness are lessened if the individual is approached in this manner. (C) This answer is incorrect. It is difficult for one to admit to wrongdoing with this approach. (D) This answer is incorrect. He has not yet been proved guilty. Confrontation will only increase defensiveness and anxiety.

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QUESTION: 379

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QUESTION: 379

Explanation:

QUESTION: 380

Explanation:

QUESTION: 380

Explanation:

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