A mother calls her pediatrician's office concerned about her 7-month-old son. She gave him peanuts for the second time for lunch and he has vomited three times is coughing and looks flushed. What is the priority of the nurse?

Give Benadryl PO and monitor for the next 2 hours

Recommend symptomatic treatment for the cough

Tell the mother to call 911

Administer CPR to the child

Answer and Explanation

The Correct Answer is C

The symptoms described, including vomiting, coughing, and looking flushed, are concerning for a potentially severe allergic reaction, which can be life-threatening. This could be indicative of anaphylaxis, a severe allergic reaction that requires immediate medical attention.

Administering CPR (Option D) is not appropriate at this point unless the child becomes unresponsive and stops breathing, which would be a very late sign of anaphylaxis. In such a situation, CPR would be necessary, but the primary focus should be on calling 911 and obtaining immediate medical assistance.

Option A, giving Benadryl, can be part of the treatment for an allergic reaction, but it should not be the first or only action taken in a severe allergic reaction. Immediate medical evaluation and potential administration of epinephrine are more critical.

Option B, recommending symptomatic treatment for the cough, is not appropriate in this situation. The priority is recognizing the potential severity of the allergic reaction and seeking immediate emergency care.

Therefore, the nurse should advise the mother to call 911 to ensure that the child receives prompt medical attention and assessment for anaphylaxis.

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Correct Answer is ["A","E"]

Explanation

The findings that indicate a diagnosis of Acute Kidney Injury (AKI) in a 5-year-old patient are:

A. Peripheral Edema: Peripheral edema, or swelling in the extremities, can be a sign of fluid retention due to impaired kidney function in AKI.

E. Oliguria: Oliguria, which is a decreased urine output, is a common sign of AKI. It can be defined as a urine output of less than 0.5 mL/kg/hour in children.

The other findings mentioned (B, C, and D) do not specifically indicate a diagnosis of AKI:

B. Blood pressure of 112/70: The blood pressure within this range is not necessarily indicative of AKI on its own.

C. Potassium level of 4.7 (normal: 3.5-5.0 mmol/L): While abnormal potassium levels can be associated with AKI, a potassium level of 4.7 mmol/L is within the normal range.

D. Diarrhea: Diarrhea is not typically a direct symptom of AKI but may be seen in various other conditions or as a result of electrolyte imbalances associated with kidney dysfunction.

A. Tetralogy of Fallot B. Hypoplastic Left Heart Syndrome C. Atrial Septal Defect (ASD) D. Ventricular Septal Defect E. Coarctation of the Aorta

Correct Answer is ["A","B","C","E"]

Explanation

The congenital heart diseases that often require multiple surgeries to correct are:

A. Tetralogy of Fallot: Tetralogy of Fallot usually requires staged surgical repairs, with multiple surgeries performed over time to address the various components of the defect.

B. Hypoplastic Left Heart Syndrome: Hypoplastic Left Heart Syndrome typically requires a series of staged surgeries, including the Norwood procedure, Glenn procedure, and Fontan procedure, to manage the condition.

E. Coarctation of the Aorta: Coarctation of the aorta may require multiple surgeries or interventions, depending on the severity of the coarctation and the associated cardiovascular abnormalities.

C. Atrial Septal Defect (ASD) and D. Ventricular Septal Defect (VSD) usually do not require multiple surgeries for correction. These defects can often be repaired with a single surgical intervention or may close spontaneously without surgery in some cases.

It's important to note that the necessity for multiple surgeries can vary based on the individual patient's condition and the specific anatomical details of the heart defect. Treatment plans are typically tailored to each patient's needs and can include a combination of surgical and medical interventions.

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A mother calls her pediatrician's office concerned about her 7-month-old son. She gave him peanuts for the second time for lunch and he has vomited three times is coughing and looks flushed. What is the priority of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 5-year-old patient is brought into the Emergency Room and is diagnosed with an Acute Kidney injury (AKI). Which findings indicate this diagnosis?

Correct Answer is ["A","E"]

Explanation

Which of the following congenital heart diseases require multiple surgeries to correct? (Select All that Apply)

Correct Answer is ["A","B","C","E"]

Explanation

in a non-potty trained child with nephrotic syndrome is the best way to detect fluid retention?

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