The nurse in a family practice clinic notices that more children ...

[123654777]

The nurse in a family practice clinic notices that more children than adults are being seen with upper respiratory infections. The nurse understands that respiratory infections are more common in children because:
 
  a. Children have larger air passages than adults
  b. Children are less likely to have involvement of the other parts of the respiratory tract
  c. Children have more narrowing on inflammation
  d. Infection of the larynx is not a common problem for children

Question 2

The care plan for a baby with gastroenteritis includes a nursing diagnosis of Impaired skin integrity related to irritation from frequent stools. Which of the following interventions by the nurse would be the best intervention?
 
  a. Clean the diaper area with commercial baby wipes after each stool.
  b. Keep the diaper area covered and avoid airing the diaper area.
  c. Clean the diaper area with water and mild soap after each stool.
  d. Do not use any diaper cream to coat the skin.

[ultraflyy23]

Answer to Question 1

C
Children experience a higher rate of respiratory infections than adults because their airways are smaller. Children are more likely to have involvement of other parts of the respiratory tract. Infection of the larynx is common in children.

Answer to Question 2

C

Feedback
A Incorrect: The best intervention by the nurse would not be to clean the diaper area with commercial baby wipes after each stool. Commercial baby wipes contain alcohol and may cause further irritation.
B Incorrect: The best intervention by the nurse would not be to keep the diaper area covered and avoid airing the diaper area. Leaving the diaper area open to air as often as possible promotes healing.
C Correct: The care plan for a baby with gastroenteritis includes a nursing diagnosis of Impaired skin integrity related to irritation from frequent stools. The best intervention by the nurse would be to clean the diaper area with water and mild soap after each stool in order to remove diarrheal stool, which is acidic and very irritating to the perineum.
D Incorrect: The best intervention by the nurse would not be to avoid use any diaper cream to coat the skin. Instead applying creams and ointments provide a protective barrier from frequent stools.