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 D

Explanation

A. Barrier creams should not be washed off with each diaper change; they should be left intact to protect the skin.

B. Cloth diapers can sometimes exacerbate diaper dermatitis due to moisture retention; disposable diapers may be better at wicking moisture away from the skin.

C. Talcum powder is not recommended due to the risk of inhalation, which can cause respiratory issues in infants.

D. Exposing the excoriated area to air frequently allows the skin to dry out, reducing moisture and irritation, which is beneficial in managing diaper dermatitis.

A. Increasing fluid intake B. Inserting an indwelling catheter C. Maintaining prone positioning D. Preventing skin breakdown

Correct Answer is D

Explanation

A. Increasing fluid intake is important for overall health but is not the primary concern in the initial management of bladder exstrophy.

B. Inserting a catheter may be necessary but is not the first priority in managing bladder exstrophy.

C. Prone positioning is generally not recommended for infants with bladder exstrophy; supine positioning may be preferable to prevent pressure on the exposed bladder.

D. Preventing skin breakdown is critical due to the constant exposure of the bladder and surrounding skin to urine, leading to a high risk of irritation and infection.

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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

A nurse is caring for an infant who has diaper dermatitis. What is an appropriate action for the nurse to take when caring for this client?

Correct Answer is D

Explanation

An infant is admitted to the unit with a diagnosis of bladder exstrophy. What should the nurse prioritize when caring for a client with this condition?

Correct Answer is D

Explanation

The caregiver whose newborn was newly diagnosed with phenylketonuria (PKU) has questions about the disorder. Which statement made by the nurse is correct regarding PKU?

A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?

The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?

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The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?

A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?