Level: Clinical
Difficulty: Medium
Subtopic: Respiratory illness
NCLEX: A 2-year-old toddler in the emergency department is being evaluated for bronchiolitis with respiratory distress….
Pediatric nursing Health Promotion and Maintenance Physiological Adaptation
Case Study
A 2-year-old toddler in the emergency department is being evaluated for bronchiolitis with respiratory distress. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. The nurse is evaluating discharge teaching. Which client statement shows correct understanding?
Question
A. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
B. "I will stop my medications when I feel better."
C. "I do not need to report mild symptoms unless they become unbearable."
D. "The nurse does not need to know about changes unless the provider asks."
B. "I will stop my medications when I feel better."
C. "I do not need to report mild symptoms unless they become unbearable."
D. "The nurse does not need to know about changes unless the provider asks."
Rationale
Correct answer: A. "I will call the nurse if I have new or worse symptoms before my follow-up appointment."
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Effective teaching includes when to seek help for worsening symptoms. Stopping medications or delaying reports are unsafe.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.