A school nurse is planning a safety education program for adolescents. Which of the following should the nurse plan to include?
Provide a lecture encouraging adolescents on taking calculated risks.
Offer rewards for those who report witnessing a peer engaging in high-risk behavior.
Give several pamphlets about safety for the adolescents to read on their own.
Create a mock scene of a motor-vehicle crash to illustrate the consequences of high-risk behavior.
The Correct Answer is D
A. Providing a lecture that encourages taking calculated risks may lead adolescents to underestimate the dangers of certain activities rather than promoting safety.
B. Offering rewards for reporting high-risk behavior may create an environment of distrust and could discourage open dialogue among peers regarding safety issues.
C. Giving pamphlets does not engage adolescents effectively; they may not read or absorb the information thoroughly without interactive discussion.
D. Creating a mock scene of a motor-vehicle crash effectively demonstrates the serious consequences of high-risk behaviors, engaging students in a way that promotes awareness and understanding of safety.
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Correct Answer is C
Explanation
A. Clients on digoxin should actually have an adequate intake of potassium, as low potassium levels can increase the risk of digoxin toxicity.
B. If a pediatric client spits out digoxin, the dose should not be repeated automatically; instead, the nurse should assess the situation and follow the facility's protocol regarding missed doses.
C. Measuring the apical pulse for one full minute before administering digoxin is critical; if the pulse is below the established threshold (usually <60 bpm for children), the medication should be held and the provider notified.
D. While evaluating for nausea, vomiting, and anorexia is important, it is not an appropriate immediate action before administering the medication. The priority action is to assess the apical pulse.
Correct Answer is ["C","D","E"]
Explanation
A. Pertussis, or whooping cough, primarily affects the respiratory tract, particularly the trachea and bronchi, not just the nostrils.
B. Pertussis is caused by the bacterium Bordetella pertussis, making this statement incorrect as the infection is bacterial, not viral.
C. The toxins released by Bordetella pertussis damage the cilia of epithelial cells in the respiratory tract, leading to difficulty in clearing secretions.
D. The inflammation of the lungs and airways is a characteristic response to the infection, contributing to the symptoms of coughing and difficulty breathing.
E. The production of thick, mucus secretions is a hallmark of pertussis, which makes it challenging for the child to expel them, leading to severe coughing fits.