Author Question: The parents of a school-age child with frequent sinus infections ask the nurse how to prevent the ... (Read 93 times)

bobthebuilder · **on:** Jun 28, 2018

The parents of a school-age child with frequent sinus infections ask the nurse how to prevent the infections from occurring. Which questions by the nurse to the parents would elicit helpful information as to the cause of the problem?

(Select all that apply.)
A.
Do your other children have frequent infections?
B.
Has your child ever had allergy testing?
C.
Is your child around anyone who smokes?
D.
Was your child born prematurely or at term?
E.
Who watches your child before and after school?

Question 2

A 2-year-old child has croup. Which nursing interventions are appropriate for this child? (Select all that apply.)

A.
Administering oral or intravenous antibiotics
B.
Administering racemic epinephrine (Micronefrin)
C.
Applying oxygen via an oxygen tent
D.
Teaching the parents how to give cough medication
E.
Using a warm-mist humidifier

ambernicolefink · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C, E
Causes of sinusitis include allergies, exposure to other sick people (e.g., siblings or children at day care), exposure to cigarette smoke, and exposure to allergens. Eliminating these factors would help decrease the number of episodes of sinusitis, so it is appropriate to ask questions about these topics. Term versus premature birth is not a contributing factor.

Answer to Question 2

ANS: B, C
Commonly, mild cases of croup are treated with cool mist. In the hospital setting, oxygen hoods for infants and oxygen tents for toddlers are used. Nebulized racemic epinephrine (Adrenalin) and l-epinephrine are equally effective in inducing mucosal vasoconstriction, with a consequent decrease in subglottic edema, thus relieving the symptoms. Antibiotics are not used in the management of croup, as it is primarily viral in nature. Cool-mist humidifiers should be used rather than warm mist due to the potential for bacterial growth in the warm-mist system.