Page 1052 - Saunders Comprehensive Review For NCLEX-RN

Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pediatrics: Throat/Respiratory
Health Problem: Pediatric-Specific: Asthma
Priority Concepts: Clinical Judgment; Gas Exchange
Reference: McKinney et al. (2018), p. 1057.

353. Answer: 4

Rationale: Pneumonia is an inflammation of the pulmonary parenchyma or
alveoli, or both, caused by a virus, mycoplasmal agents, bacteria, or aspiration of
foreign substances. Splinting of the affected side by lying on that side may decrease
discomfort. It would be inappropriate to advise the mother to increase the dose or
frequency of the ibuprofen. Lying on the left side would not be helpful in alleviating
discomfort.
Test-Taking Strategy: Options 1 and 2 can be eliminated because they are
comparable or alike. Recall that the nurse does not adjust the dose or frequency of
medications. Recalling the principles related to splinting an incision in the
postoperative client will assist in directing you to the correct option, because these
principles can be applied in this situation.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Pediatrics: Throat/Respiratory
Health Problem: Pediatric-Specific: Pneumonia
Priority Concepts: Client Education; Pain
Reference: McKinney et al. (2018), p. 1051.

354. Answer: 4

Rationale: SIDS is the unexpected death of an apparently healthy infant younger
than 1 year for whom an investigation of the death and a thorough autopsy fail to
show an adequate cause of death. Several theories are proposed regarding the cause,
but the exact cause is unknown. Nurses should encourage parents to place the infant
on the back (supine) for sleep. Infants in the prone position (on the stomach) may be
unable to move their heads to the side, increasing the risk of suffocation. The infant
may have the ability to turn to a prone position from the side-lying position.
Test-Taking Strategy: Eliminate options 1, 2, and 3 because they are comparable
or alike. Remember that the infant needs to be placed on her or his back.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Pediatrics: Throat/Respiratory
Health Problem: Pediatric-Specific: Sudden infant death syndrome (SIDS)
Priority Concepts: Client Education; Safety
Reference: McKinney et al. (2018), p. 1056.

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