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 C
Explanation
Rationale:
A. This statement is incorrect; effective asthma management should help the child attend school regularly rather than miss fewer days.
B. Coughing and shortness of breath in the morning usually indicate poor asthma control, not good control.
C. Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.
D. Proper asthma management should allow participation in physical activities, not exclude the child from them.
Correct Answer is D
Explanation
Rationale:
A. Facial edema is a common finding in nephrotic syndrome due to hypoalbuminemia and fluid retention.
B. Irritability can occur due to discomfort or malaise associated with the condition but is not immediately concerning.
C. Poor appetite is a common symptom in children with nephrotic syndrome and is expected.
D. Yellow nasal discharge may indicate an infection, which is a concern in children with nephrotic syndrome because they are at increased risk for infections due to their condition and the potential use of immunosuppressive therapies.