A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?
Determining the chief complaint.
Interviewing the caregiver.
Obtaining biographical data.
Recording the health history.
The Correct Answer is A
Choice A reason: Determining the chief complaint identifies the primary reason for the visit, guiding the assessment and care plan for the child. This aligns with pediatric nursing triage principles, making it the prioritized step to ensure focused, efficient care during the first visit to the clinic.
Choice B reason: Interviewing the caregiver provides context but follows identifying the chief complaint, which directs the conversation. The complaint sets the visit’s focus, making this secondary and incorrect compared to prioritizing the reason for the child’s visit in the initial pediatric clinic appointment.
Choice C reason: Obtaining biographical data is administrative and less urgent than addressing the child’s health concern. The chief complaint drives the clinical encounter, making this less critical and incorrect compared to prioritizing the identification of the primary issue in the first clinic visit.
Choice D reason: Recording the health history is important but comes after understanding the chief complaint, which shapes the history-taking. Identifying the complaint ensures relevance, making this subsequent and incorrect compared to the prioritized step of determining the reason for the child’s visit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Placing the infant on the back post-pyloromyotomy risks aspiration during anesthesia recovery, as vomiting is common with pyloric stenosis. Side-lying positioning ensures airway protection, making this unsafe and incorrect for managing the infant’s recovery period effectively after this surgical procedure.
Choice B reason: Positioning the infant on their side with support prevents aspiration and maintains airway patency post-pyloromyotomy, addressing vomiting risks from pyloric stenosis. This aligns with postoperative pediatric nursing standards, making it the most appropriate position during anesthesia recovery for the infant.
Choice C reason: Laying the infant on the stomach is unsafe post-surgery, increasing aspiration and pressure on the surgical site. Side-lying positioning protects the airway and incision, making this incorrect for the infant’s recovery period following pyloromyotomy for pyloric stenosis in the hospital setting.
Choice D reason: Allowing parents to hold the infant may comfort but risks disrupting surgical recovery or airway management during anesthesia effects. Side-lying positioning ensures safety, making this less controlled and incorrect for the immediate postoperative period in this surgical context for the infant.
Correct Answer is B
Explanation
Choice A reason: For a 75-lb child (34 kg), the daily dose range is 1122-1632 mg (33-48 mg/kg). Divided by 4, each dose is 280.5-408 mg. 280 mg is slightly below the minimum, making this borderline and incorrect compared to a dose within the safe therapeutic range for administration.
Choice B reason: A 75-lb child weighs 34 kg (75 ÷ 2.2). The daily dose range is 1122-1632 mg (33-48 mg/kg), so per dose (÷4) is 280.5-408 mg. 375 mg falls within this range, aligning with pediatric pharmacology, making it the correct dosage to administer per dose.
Choice C reason: For a 75-lb child (34 kg), the daily dose range is 1122-1632 mg (33-48 mg/kg), with each dose (÷4) being 280.5-408 mg. 408 mg is at the maximum but within range, making this correct but less optimal than 375 mg, which is safer within the therapeutic window.
Choice D reason: A 75-lb child (34 kg) requires 1122-1632 mg daily (33-48 mg/kg), so each dose (÷4) is 280.5-408 mg. 250 mg is below the minimum, risking underdosing, making this incorrect compared to 375 mg, which is safely within the therapeutic range for the child.
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