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The caregiver is caring for a 2-month-old infant with a diagnosis of bronchiolitis. Which assessment finding would be most concerning to the caregiver?
- A. Nasal flaring and grunting
- B. Coughing and wheezing
- C. Poor feeding and irritability
- D. Increased respiratory rate
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The caregiver is being educated by a healthcare provider about the use of a metered-dose inhaler (MDI) for their 8-year-old child with asthma. Which statement by the caregiver indicates a need for further teaching?
- A. I will shake the inhaler before each use
- B. My child should breathe in quickly after pressing the inhaler
- C. I should wait a minute between puffs
- D. We should use a spacer with the inhaler
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as a 50 mg/5 mL syrup. Using a supplied calibrated measuring device, how many mL should be administered per dose? (Round to the nearest tenth.)
- A. 4.2 mL
- B. 5 mL
- C. 3.6 mL
- D. 4 mL
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider is providing postoperative care to a 7-year-old child who had surgery for appendicitis. The child is experiencing pain at the surgical site. What is the healthcare provider's priority action?
- A. Administer the prescribed pain medication
- B. Encourage the child to take deep breaths
- C. Apply a warm compress to the surgical site
- D. Reposition the child to a more comfortable position
Correct Answer: A
Rationale: Administering the prescribed pain medication is crucial to effectively manage the child's postoperative pain. Pain management is a priority to ensure the child's comfort and promote healing following surgery. Encouraging deep breaths, applying warm compresses, or repositioning the child may help, but addressing the pain with medication is the initial and most vital intervention.
The healthcare provider is assessing an infant with diarrhea and lethargy. Which finding should the provider identify that is consistent with early dehydration?
- A. Tachycardia
- B. Bradycardia
- C. Dry mucous membranes
- D. Decreased skin turgor
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A mother reports to the nurse at the pediatric clinic that her toddler has had a fever and sore throat for the past two days. The nurse observes several swollen red spots on the child's body, some of which are fluid-filled blisters. What action should the nurse take?
- A. Obtain a fluid culture from the blisters
- B. Administer a fever-reducing medication
- C. Cover the draining vesicles with a dressing
- D. Implement transmission precautions
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.