A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which action is the nurse's priority?

Insert an IV catheter.

Prepare for nasotracheal intubation.

Administer an antipyretic.

Obtain blood culture specimens.

Answer and Explanation

The Correct Answer is B

Insert an IV catheter: While this might be necessary later, it’s not the immediate priority. The child’s breathing difficulty is the most urgent concern.
B. Prepare for nasotracheal intubation: This is the correct answer. The child’s severe dyspnea indicates a serious breathing problem. Nasotracheal intubation can help ensure the child’s airway remains open.
C. Administer an antipyretic: While this might help reduce the child’s fever, it won’t address the immediate life-threatening issue, which is the child’s difficulty breathing.
D. Obtain blood culture specimens: This could be helpful in diagnosing the cause of the child’s symptoms, but it’s not the immediate priority. The first concern should be stabilizing the child’s condition.

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Correct Answer is D

Explanation

A. Muscular dystrophy: This is a group of diseases that cause progressive weakness and loss of muscle mass. It’s not a neural tube defect.
B. Cerebral palsy: This is a group of disorders that affect a person’s ability to move and maintain balance and posture. It’s not a neural tube defect.
C. Hydrocephalus: This is a condition that occurs when fluid builds up in the skull and causes the brain to swell. It’s not a neural tube defect, but it can occur as a complication of spina bifida.
D. Spina bifida: This is the correct answer. Spina bifida is a neural tube defect that occurs when the spine and spinal cord don’t form properly. This is a condition that is present at birth (congenital).

A. Valley fever B. Fever blister C. Athlete's foot D. Shingles

Correct Answer is C

Explanation

A. Valley fever: This is a common name for coccidioidomycosis, a fungal infection that affects the lungs and is not related to tinea pedis.
B. Fever blister: This is another name for oral herpes, caused by the herpes simplex virus, and is not related to tinea pedis.
C. Athlete’s foot: This is the common name for tinea pedis, a fungal infection that typically affects the skin on the feet.
D. Shingles: This is a viral infection caused by the varicella-zoster virus, the same virus that causes chickenpox, and is not related to tinea pedis.

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A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which action is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the m include as an example of a neural tube defect?

Correct Answer is D

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Correct Answer is C

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