A nurse is teaching parents about safety issues to prevent injuries in school-age children. Which of the following statements by the parents indicates that they require additional teaching?
"We will use a booster seat until our child is tall enough for the seatbelt to fit properly."
"Once transitioned into a booster seat, we will allow our child to ride in the front seat of the car."
"We will ensure our child wears a helmet while riding a bicycle."
"We will teach our child to avoid running into the street without looking."
The Correct Answer is B
A. Using a booster seat until the child reaches the appropriate height for a seatbelt is correct and aligns with safety guidelines for child passengers.
B. Allowing a child to ride in the front seat while still using a booster seat is unsafe; children should remain in the back seat until they are at least 13 years old.
C. Ensuring that the child wears a helmet while riding a bicycle is an important safety measure and demonstrates understanding of injury prevention.
D. Teaching the child to avoid running into the street without looking shows awareness of pedestrian safety and the need for supervision and education about traffic safety.
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Correct Answer is D
Explanation
A. Administering antibiotics is not appropriate as Kawasaki disease is not caused by a bacterial infection; it is an inflammatory condition.
B. While monitoring for signs of coronary artery aneurysms is essential, the immediate intervention needed in the initial phase is to administer IVIG to mitigate inflammation and prevent complications.
C. Providing comfort measures for peeling skin is supportive but does not address the critical treatment needs in Kawasaki disease.
D. Administering intravenous immunoglobulin (IVIG) is the priority nursing intervention as it helps reduce inflammation and the risk of developing cardiovascular complications associated with Kawasaki disease.
Correct Answer is C
Explanation
A. Using a tongue depressor can provoke spasm of the epiglottis and lead to airway obstruction; therefore, this action is contraindicated in a child with epiglottitis.
B. Airborne precautions are not necessary for epiglottitis; droplet precautions are more appropriate due to the risk of transmission.
C. Monitoring oxygen saturation is critical in this situation to assess the child's respiratory status and ensure adequate oxygenation, making it the most appropriate action.
D. Obtaining a throat culture may not be safe or practical in this scenario, as it can provoke further distress and complications; immediate assessment and stabilization are prioritized.