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When receiving change-of-shift report for children, which child should the nurse assess first?
- A. A toddler who has a concussion and an episode of forceful vomiting
- B. An adolescent with infective endocarditis who reports having a headache
- C. An adolescent who was placed into Halo traction 1 hour ago and rates his pain at a 6 on a 0-10 scale
- D. A school-age child with acute glomerulonephritis and brown-colored urine
Correct Answer: A
Rationale: The nurse should assess the toddler with a concussion and an episode of forceful vomiting first when receiving change-of-shift report for children. Forceful vomiting in a toddler with a concussion indicates increased intracranial pressure, requiring immediate assessment and intervention to prevent further complications.
You may also like to solve these questions
What is the best action for a 6-year-old boy with school refusal?
- A. Refer to a pediatric psychologist
- B. Start selective serotonin reuptake inhibitor
- C. Assess the home environment
- D. Give the child special attention from the teacher
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During cardiopulmonary resuscitation of an infant, how should chest compressions be performed?
- A. With the heel of one hand and the other hand on top of the first
- B. With the heel of one hand only
- C. With 4 fingers of one hand
- D. With 2 fingers of one hand
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most effective treatment for cystic fibrosis?
- A. Heart-lung transplant
- B. Administration of prophylactic antibiotics
- C. Administration of nebulized bronchodilators
- D. Vigorous and consistent chest physiotherapy
Correct Answer: D
Rationale: The major objective of therapy in cystic fibrosis (CF) is to promote the removal of secretions from the lungs. Chest physiotherapy, which involves postural drainage, vibration, and percussion, has been the mainstay of treatment for CF patients. This technique helps loosen and clear mucus from the airways, reducing the risk of lung infections and improving respiratory function. Aerobic exercise is also effective in clearing the airways and is an essential part of the treatment plan for CF patients. While prophylactic antibiotics may be used for early signs of infection, they are not the most effective treatment for CF. Nebulized bronchodilators do not provide long-term benefits for CF patients. Heart-lung transplant may be considered for some CF patients, but it is not a suitable option for most individuals due to various limitations and availability issues. Therefore, the most effective treatment for cystic fibrosis is
The nurse would evaluate that the patient understands what triggers allergic rhinitis by which of the following patient responses?
- A. "Injected medications."
- B. "Ingested food and medications."
- C. "Topical creams and ointments."
- D. "Airborne pollens and molds."
Correct Answer: D
Rationale: Allergic rhinitis is a condition characterized by inflammation of the nasal passages caused by exposure to allergens. Common triggers include airborne pollens and molds, which are inhaled through the nose and can lead to symptoms such as sneezing, nasal congestion, and itchy/watery eyes. Understanding these triggers is essential for managing allergic rhinitis effectively, as patients can take steps to minimize their exposure to these allergens and reduce their symptoms. The correct answer is D because it specifically addresses the environmental triggers associated with allergic rhinitis.
A new mother wants to be discharged with her newborn as soon as possible. What should be done prior to discharge?
- A. Newborn has voided at least once
- B. Newborn does not spit up after feeding
- C. Jaundice, if present, appeared before 24 hours
- D. Appointment is made for home care or a primary care practitioner office visit within next 2 or 3 days
Correct Answer: D
Rationale: Prior to discharge from the hospital, it is important that a new mother makes an appointment for home care or a primary care practitioner office visit within the next 2 or 3 days for the newborn. This ensures that the newborn will receive necessary follow-up care, monitoring, and evaluation after leaving the hospital. It is crucial for the newborn's health and well-being to have timely postnatal check-ups to address any concerns or issues that may arise in the early days after birth. This follow-up care also allows healthcare providers to assess the newborn's growth, feeding, and overall health progression.