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A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?

A.

The child's parent applies the prescribed medication as instructed.

B.

The parent allows their child to attempt to lift their older sibling above the ground.

C.

The child's parent enforces nose blowing only when necessary.

D.

The child's parent states that they developed a plan to have their child use ear plugs in the shower.

E.

The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.

Question Solution

Correct Answer : A,C,D,E

A. The parent applying prescribed medication as instructed indicates proper understanding of post-operative care and adherence to treatment.  

 

B. Allowing the child to lift their older sibling above the ground is inappropriate as it can lead to increased pressure on the ear, risking complications.  

 

C. Enforcing nose blowing only when necessary is a correct action since excessive force can displace the tympanoplasty tube or introduce bacteria into the ear.  

 

D. Planning to have the child use ear plugs in the shower is an effective precaution to protect the ears from water exposure, which is essential post-surgery.  

 

E. Reporting purulent drainage immediately to the surgeon shows awareness of potential complications and the need for prompt medical attention.


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Correct Answer is A

Explanation

A. Distributive shock, particularly in the context of anaphylaxis, is characterized by widespread vasodilation that leads to a decrease in systemic vascular resistance and impaired blood flow to organs despite normal or increased cardiac output.

B. This option is incorrect because distributive shock involves decreased systemic vascular resistance due to vasodilation rather than an increase.

C. This statement describes hypovolemic shock, not distributive shock. Distributive shock is not primarily caused by the loss of blood volume.

D. While loss of myocardial contractility can lead to cardiogenic shock, it is not the mechanism behind distributive shock, which is related to vascular tone rather than heart function.

Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.

B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

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