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A nurse in the emergency department is preparing to discharge a 3-year- old child.

Nurses' Notes

The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child

scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis.
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply.)

"You should apply a thick layer of pimecrolimus cream to your child's lesions."

"You can apply gloves to your child's hands."

"You should cut and file your child's fingernails frequently."

"Your child will experience occasional flare-ups of this condition."

"You should apply emollients to your child's skin after bathing."

"Your child's condition is contagious when lesions are present."

Answer and Explanation

Correct Answer : A,B,C,D,E,F

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Correct Answer is B

Explanation

A. Starting the IV in the infant's foot is not the preferred site for a 12-month-old who is ambulatory or beginning to walk, as it can interfere with mobility. The hand, forearm, or scalp (if necessary) are preferred sites.
B. Using a 24-gauge catheter is the correct choice, as smaller-gauge catheters (24- to 26-gauge) are appropriate for infants to minimize trauma and facilitate proper IV access.
C. Changing the IV site every 3 days is a general guideline for adults, but in infants, the site should be assessed frequently and changed as needed based on signs of infiltration or complications.
D. Covering the insertion site with an opaque dressing is incorrect because a transparent dressing is preferred to allow for continuous assessment of the site for complications such as infiltration or phlebitis.

A. BUN 12 mg/dL B. BUN 6 mg/dL C. Creatinine 1.4 mg/dL D. Creatinine 0.3 mg/dL

Correct Answer is C

Explanation

A. Blood urea nitrogen (BUN) of 12 mg/dL is within the normal range for a child.

B. Blood urea nitrogen (BUN) of 6 mg/dL is within the normal range for a child.

C. A creatinine level of 1.4 mg/dL is elevated and may indicate impaired kidney function.
This value should be reported to the provider, especially in the context of gentamicin administration, as gentamicin can be nephrotoxic.

D. Creatinine level of 0.3 mg/dL is within the normal range for a child.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?

Correct Answer is B

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A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?

Correct Answer is C

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