Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
58. A child is isolated at home with whooping cough (pertussis). Which parental behavior indicates the need for additional teaching by the nurse?
. Confining cigarette smoking to the outdoors.
. Avoiding sudden changes in household temperature.
. Keeping the child's room well ventilated.
. Using the fireplace as an additional means of heating the house.
Test-Taking Tip
The question asks for the answer that is not a correct action by the parents. Think "triggers" that promote coughing and select the behavior by the parents that may cause paroxysms of coughing.
Content Area: Child Health, Infectious Disease; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because it is a desirable behavior by the parents. Confining cigarette smoke to the outdoors can prevent paroxysms of coughing associated with whooping cough (pertussis). Answer 2 is incorrect because it is a desirable behavior by the parents. Avoiding sudden changes in household temperature can prevent paroxysms of coughing associated with whooping cough (pertussis). Answer 3 is incorrect because it is a desirable behavior by the parents. Keeping the child's room well ventilated can prevent paroxysms of coughing associated with whooping cough (pertussis). Answer 4 is correct because using the fireplace as an additional means of heating the house creates dust and smoke that may cause paroxysms of coughing associated with whooping cough (pertussis).