Nursing Elites

1. What action should be taken for a 2-year-old with laryngotracheobronchitis in an oxygen tent?

• A. Restrain the child and notify the healthcare provider
• B. Increase the oxygen concentration
• C. Take the child to the playroom
• D. Ask the mother to help in comforting the child

Correct answer: B

Rationale: In laryngotracheobronchitis (croup), a child may become restless due to poor oxygenation. Increasing the oxygen concentration in the oxygen tent is crucial to improve oxygenation levels and manage symptoms effectively. Restraint is not appropriate in this situation, as it may cause distress and worsen the child's condition. Taking the child to the playroom is not indicated when the child requires oxygen therapy. While comforting the child is important, the priority in this scenario is to optimize oxygen delivery to improve respiratory distress.

2. What type of vaccine should a child with a history of severe allergic reactions receive?

• A. Live attenuated vaccines
• B. Inactivated vaccines
• C. Subunit vaccines
• D. Recombinant vaccines

Correct answer: B

Rationale: Children with a history of severe allergic reactions should receive inactivated vaccines because they do not contain live pathogens. Live attenuated vaccines (choice A) contain weakened live pathogens and can potentially trigger an allergic reaction in sensitive individuals. Subunit vaccines (choice C) and recombinant vaccines (choice D) may contain components that could still trigger an allergic response in individuals with a history of severe allergies. Inactivated vaccines are the safest choice for individuals with a history of severe allergic reactions as they do not pose a risk of causing an allergic reaction due to the absence of live pathogens.

3. What should the nurse anticipate as challenging in caring for a child with acute glomerulonephritis?

• A. Forced fluids
• B. Increased feedings
• C. Bed rest
• D. Frequent position changes

Correct answer: C

Rationale: The correct answer is C: Bed rest. Implementing bed rest can be challenging, especially in active children, but it's necessary to manage the symptoms of acute glomerulonephritis. Forced fluids (choice A) may be required to maintain hydration but are not typically challenging. Increased feedings (choice B) and frequent position changes (choice D) are not primary interventions in the care of a child with acute glomerulonephritis.

4. What is a common symptom of an upper respiratory infection in children?

• A. Constipation
• B. Excessive vomiting
• C. Nasal congestion
• D. Abdominal pain

Correct answer: C

Rationale: Nasal congestion is a common symptom of an upper respiratory infection in children. It is typically accompanied by cough and sore throat. Constipation (choice A) and excessive vomiting (choice B) are not typical symptoms of upper respiratory infections. Abdominal pain (choice D) is more commonly associated with gastrointestinal issues rather than upper respiratory infections.

5. Your friend Carrie took a daily supplement of vitamin C and tells you that she feels a lot better. Her statement to you is best described as what?

• A. an anecdote
• B. theory
• C. interpretation
• D. conclusion

Correct answer: A

Rationale: The correct answer is A, 'an anecdote.' An anecdote is a personal account or experience, not necessarily backed by scientific evidence. In this case, Carrie's statement about feeling better after taking vitamin C is based on her personal experience and does not constitute scientific evidence or a generalizable conclusion. Choice B, 'theory,' would imply a systematic explanation based on scientific evidence, which is not the case here. Choice C, 'interpretation,' typically involves explaining or understanding something based on available information, not a personal account. Choice D, 'conclusion,' would be a general statement derived from specific information or facts, which is not applicable in this context.

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