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Free NCLEX-RN Exam Braindumps (page: 84)

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PDF with 862 Questions

A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

  1. Take him in the bathroom, turn on the hot water, and close the door.
  2. Give him a dose of antihistamine.
  3. Give large amounts of clear liquids if drooling occurs.
  4. Place him near a cool mist vaporizer and encourage crying.

Answer(s): A

Explanation:

(A) Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. (B) Antihistamines should be avoided because they can cause thickening of secretions. (C) Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. (D) Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.



A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

  1. Take him in the bathroom, turn on the hot water, and close the door.
  2. Give him a dose of antihistamine.
  3. Give large amounts of clear liquids if drooling occurs.
  4. Place him near a cool mist vaporizer and encourage crying.

Answer(s): A

Explanation:

(A) Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. (B) Antihistamines should be avoided because they can cause thickening of secretions. (C) Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. (D) Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.



The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

  1. "I will wash my hands before instilling eye medications."
  2. "I will wear sunglasses when going outside."
  3. "I will wear an eye patch for the first 3 postoperative days."
  4. "I will maintain the sterility of the eye medications."

Answer(s): C

Explanation:

(A) Hand washing would be an important action designed to prevent transmission of pathogens from the hands to the eye. (B) Wearing sunglasses when going outside will prevent airborne pathogens from entering the eye. (C) Eye patches are most frequently ordered to be worn while the client sleeps or naps, not constantly for this length of time. (D) Eye medications are sterile; clients need to be taught how to maintain this sterility.



The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

  1. "I will wash my hands before instilling eye medications."
  2. "I will wear sunglasses when going outside."
  3. "I will wear an eye patch for the first 3 postoperative days."
  4. "I will maintain the sterility of the eye medications."

Answer(s): C

Explanation:

(A) Hand washing would be an important action designed to prevent transmission of pathogens from the hands to the eye. (B) Wearing sunglasses when going outside will prevent airborne pathogens from entering the eye. (C) Eye patches are most frequently ordered to be worn while the client sleeps or naps, not constantly for this length of time. (D) Eye medications are sterile; clients need to be taught how to maintain this sterility.






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