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A young child admitted to the pediatric unit has fever, irritability, and vomiting with suspected bacterial meningitis. Which cerebrospinal fluid (CSF) result should the nurse anticipate based on these data?
- A. Decreased protein count
- B. Clear, straw-colored fluid
- C. Positive for red blood cells (RBCs)
- D. Decreased glucose level
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which child does not need a urinalysis to evaluate for a UTI?
- A. A 4-month-old female with fussiness, poor appetite, T 100.8°F, HR 120.
- B. A 4-year-old female with dysuria and frequent urination; vitals are normal.
- C. An 8-year-old male with a history of ureteral reimplantation but no current symptoms.
- D. A 12-year-old female with lower right back pain and T 101.5°F.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is assessing an infant who has heart failure. Which of the following findings should the healthcare professional expect?
- A. Weight gain
- B. Bounding pulses
- C. Hyperactivity
- D. Increased urine output
Correct Answer: A
Rationale: In infants with heart failure, one of the key manifestations is weight gain due to fluid retention. The heart's inability to pump effectively can lead to fluid buildup in the body, causing weight gain. Bounding pulses, hyperactivity, and increased urine output are not typically associated with heart failure in infants.
Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?
- A. The dialysate is clear upon return.
- B. The volume of drained dialysate is less than the volume infused.
- C. The child is restless and eager to play.
- D. The child's vital signs remain consistent with those noted during infusion.
Correct Answer: B
Rationale: A lower volume of drained dialysate compared to the volume infused suggests a possible obstruction or malfunction in the dialysis process. This finding could compromise the effectiveness of the treatment and needs prompt assessment and intervention by the nurse to ensure the child's safety and well-being.
A client has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?
- A. Steatorrhea
- B. Projectile vomiting
- C. Sunken abdomen
- D. Weight gain
Correct Answer: A
Rationale: Celiac disease is a condition where individuals are unable to digest gluten, leading to damage in the bowel cells and subsequent malabsorption. This malabsorption commonly presents with symptoms such as steatorrhea, which is characterized by foul-smelling, greasy, and bulky stools due to high fat content. Therefore, the nurse should expect steatorrhea as a clinical manifestation in clients with celiac disease.
The pediatric nurse cares for a patient who received chemotherapy 10 days ago. Which laboratory value requires the nurse's intervention?
- A. A blood urea nitrogen level of 10 mg/dL.
- B. A hemoglobin of 8.6 g/dL.
- C. A platelet count of 18 x 10^3/µL.
- D. A serum glucose of 110 mg/dL.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.