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?
The child's parent applies the prescribed medication as instructed.
The parent allows their child to attempt to lift their older sibling above the ground.
The child's parent enforces nose blowing only when necessary.
The child's parent states that they developed a plan to have their child use ear plugs in the shower.
The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.
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 D
Explanation
A. Improved hydration is important but not directly indicative of an asthma attack improvement.
B. A barking cough is often associated with conditions like croup and does not indicate improvement in asthma symptoms.
C. Decreased temperature is not a specific indicator of improvement in asthma and may not correlate with the severity of an asthma attack.
D. Decreased stridor indicates a reduction in airway obstruction and inflammation, signifying an improvement in the child’s respiratory status during an asthma attack.
Correct Answer is C
Explanation
A. Secondary prevention involves early detection and prompt intervention in health issues that have already occurred; providing education about stress does not fall under this category.
B. Suicide prevention is a specific aspect of mental health care and is not directly related to general stress education.
C. Primary prevention aims to prevent the onset of health issues and promote health and well-being, making the education on stress and its effects a form of primary prevention.
D. Tertiary prevention focuses on rehabilitation and management of existing diseases, which does not apply to teaching about stress effects.