A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the school nurse should be prioritized?

Apply topical diphenhydramine to affected site.

Apply a cool pack to reduce the swelling.

Position the child in a supine position with legs elevated.

Assess the client's airway and breathing rate.

Answer and Explanation

The Correct Answer is D

A. Applying topical diphenhydramine may help with local itching but is not the priority in a child with a known allergy to insect stings.

B. A cool pack can reduce swelling but is not the priority action if an allergic reaction is suspected.

C. Positioning the child with legs elevated is appropriate if there are signs of shock but does not address the immediate risk of airway compromise.

D. Assessing the client's airway and breathing rate is the priority because a child with a known allergy to insect stings is at risk for anaphylaxis, which can cause airway obstruction and respiratory distress. Early recognition and intervention are critical.

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Correct Answer is C

Explanation

A. Decreased urine specific gravity is not typical; rather, increased specific gravity may be noted due to concentrated urine.

B. Hypotension is not usually associated with acute glomerulonephritis; hypertension is more common due to fluid retention and renal impairment.

C. A positive antistreptolysin O titer indicates a recent streptococcal infection, which is often the cause of post-streptococcal glomerulonephritis.

D. Elevated blood urea nitrogen (BUN) and creatinine levels are expected due to impaired kidney function, not low levels.

A. "Expect to wake your baby for all feedings." B. "Your baby will not need additional immunizations until the 1 or 2 month check-ups." C. "Your baby should gain full head control by 1 month." D. "Expect your baby to triple their birth weight by 4-6 months."

Correct Answer is B

Explanation

A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.

B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.

C. Full head control is generally achieved by around 4 months of age, not 1 month.

D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.

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A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the school nurse should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the medical record of a pediatric client suspected to have acute glomerulonephritis. What finding should the nurse expect to note in a client with this diagnosis?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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