A nurse in a pediatric clinic is planning care for four children. The nurse should anticipate a provider's prescription for an auditory evaluation for which of the following children?
A 3-year-old child with a newly applied cast for a fractured arm who stutters
A 3-month-old infant discharged two days ago after hospitalization for bacterial meningitis
A 24-month-old toddler who recently completed a course of erythromycin for treatment of pertussis
A 6-month-old infant who is experiencing loose stools and is babbling loudly
The Correct Answer is B
A. A 3-year-old child with a newly applied cast for a fractured arm who stutters: Stuttering in a 3-year-old is not an immediate indicator for an auditory evaluation unless accompanied by other signs of hearing issues.
B. A 3-month-old infant discharged two days ago after hospitalization for bacterial meningitis: Bacterial meningitis can lead to hearing loss, so an auditory evaluation is appropriate for this infant to assess for any hearing impairment resulting from the infection.
C. A 24-month-old toddler who recently completed a course of erythromycin for treatment of pertussis: Erythromycin use is not typically associated with hearing loss. The focus should be on monitoring recovery from pertussis.
D. A 6-month-old infant who is experiencing loose stools and is babbling loudly: Loose stools and babbling are not related to hearing issues and do not indicate the need for an auditory evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Convert weight from pounds to kilograms:
-
- 55 lb / 2.2 lb/kg = 25 kg
Calculate the total milligrams of diphenhydramine needed:
-
- Dose (mg/kg) x Weight (kg) = Total milligrams
- 1.25 mg/kg x 25 kg = 31.25 mg (round to 31.3 mg)
Determine the volume of diphenhydramine solution needed:
-
- Total milligrams / Concentration (mg/mL) = Volume (mL)
- 31.3 mg / 50 mg/mL = 0.63 mL (round to nearest tenth)
Therefore, the nurse should administer 0.6 mL of diphenhydramine 50 mg/mL
Correct Answer is ["A","B","D"]
Explanation
A. Tachycardia: Tachycardia (increased heart rate) is a common compensatory mechanism in heart failure as the heart tries to pump more effectively.
B. Dyspnea: Dyspnea is a common symptom of heart failure due to fluid accumulation in the lungs.
C. Weight loss: Weight gain, rather than weight loss, is more commonly associated with heart failure due to fluid retention. Therefore, weight loss is not an expected finding.
D. Cyanosis: Cyanosis can occur in heart failure due to poor oxygenation and circulation.
E. Bounding peripheral pulses: Bounding peripheral pulses are not typically associated with heart failure. Heart failure often results in weak or thready pulses due to poor cardiac output.
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