A nursing student is taking care of a 2-year-old girl and notices ...

[cnetterville]

A nursing student is taking care of a 2-year-old girl and notices her oxygen saturation has decreased. The patient has stridor when breathing and her hairline appears singed. The nurse should anticipate:
 
  1. Possible intubation because of the airway being compromised.
   2. This is normal for a patient after 36 hours.
   3. To reposition the patient for better airway clearance.
   4. This is furthering infection and may require antibiotics.

Question 2

The behavior that would alert a nurse to possible sexual abuse of a preschool age child would be:
 
  a. Masturbation
  b. Pulling down the underpants and showing the genitals
  c. Extreme modesty
  d. Talking about his or her body parts

[Briannahope]

Answer to Question 1

1
Feedback
1. A possible inhalation injury has occurred due to the oxygen saturations, stridor, and hairline being singed. This may not manifest until between the 24 to 48 hours after the initial injury.
2. This is not normal, and a doctor should be notified.
3. Repositioning may help with initially increasing oxygen saturations, but due to the stridor, the saturation level will not remain stable.
4. Infection could be developing, but this is not the priority at this point.

Answer to Question 2

C
Extreme modesty may be a behavior that suggests possible sexual abuse. Masturbation, exposing themselves, and talking about their body parts are all normal aspects of preschoolers.

[cnetterville]

Thank you

[Briannahope]

No problemo