The nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?
A cough that accompanies a cold should not be suppressed.
An antibiotic is prescribed for children younger than 5 years of age.
Typically, the child will pull the ear when a cold is present.
Healthy children rarely have more than one cold per year.
The Correct Answer is A
Rationale:
A. Coughing helps to clear mucus from the airways, and suppressing it can lead to complications such as mucus buildup and infection.
B. Antibiotics are not prescribed for viral infections like the common cold unless there is a secondary bacterial infection.
C. Ear pulling may indicate ear discomfort or infection, but it is not a typical response to nasopharyngitis alone.
D. It is normal for young children to have multiple colds per year due to their developing immune systems.
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Correct Answer is A
Explanation
Rationale:
A. Recording an upper extremity blood pressure (in the arms) compared to a lower extremity blood pressure (in the legs) can help reveal coarctation of the aorta, as the condition often results in higher blood pressure in the upper body and lower pressure in the lower body.
B. Assessing for femoral pulses is important but may not reveal coarctation of the aorta unless there is significant obstruction.
C. Excessive crying is not a specific indicator of coarctation of the aorta.
D. While a cardiac murmur can be associated with various heart conditions, it is not the most definitive assessment for coarctation of the aorta.
Correct Answer is A
Explanation
Rationale:
A. Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.
B. While continuing to assess for bleeding is important, immediate notification of the healthcare provider takes precedence to address potential complications.
C. Suctioning the throat might be contraindicated and could increase the risk of further bleeding.
D. Encouraging coughing is not appropriate as it could increase bleeding risk.