A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Paralytic ileus

Fluid imbalance

Airway obstruction

Infection

Answer and Explanation

The Correct Answer is C

A. Paralytic ileus may occur due to shock or stress but is not the immediate priority.

B. Fluid imbalance is critical but is secondary to airway patency in this case.

C. Airway obstruction is the most immediate concern due to the location of the burns, which can cause swelling and compromise breathing.

D. Infection risk is high with burns but is less immediate than airway maintenance.

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

Explanation

A. Treatment for Rh isoimmunization can include interventions such as intrauterine transfusions, which carry risks of inducing premature labor.

B. In some cases, treatment might not fully resolve the isoimmunization, potentially worsening the condition, especially if not properly monitored.

C. Any invasive procedure, including those performed to treat HDN, increases the risk of infection, both for the mother and the fetus.

D. Hardening of the membrane is not a recognized risk related to the treatment of isoimmunization.

E. Increased fetal heart rate may occur due to stress or complications but is not a direct risk of treatment.

F. Severe labor pain can occur in any labor situation but is not specifically associated with the treatment of HDN.

A. The child prefers being with their friends rather than family B. Child has gained or lost weight more than expected C. Child sleeps more than usual D. Child is not doing well in school

Correct Answer is A

Explanation

A. Preferring friends over family can be typical of adolescent development and does not necessarily indicate depression. This suggests the parent may need further education about distinguishing normal adolescent behavior from depression.

B. Significant weight changes can indicate depression in adolescents and should be monitored.

C. Increased sleep can be a symptom of depression in adolescents.

D. Poor academic performance is a possible sign of depression, as it may reflect loss of interest or concentration issues.

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A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are some risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN). Choose all that applies: (Select All that Apply.)

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

Explanation

The nurse is teaching a group of parents about signs of depression in adolescents. Which statement by a parent indicates the need for further education?

Correct Answer is A

Explanation

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