A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Respiratory

Airborne

Bleeding

Contact

Answer and Explanation

The Correct Answer is C

A. Respiratory precautions are necessary for preventing the spread of respiratory infections but are not specifically indicated here.

B. Airborne precautions are required for diseases transmitted through the air (e.g., TB), not relevant in this scenario.

C. Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications. Nurses should be vigilant in monitoring for signs of bleeding and minimizing invasive procedures.

D. Contact precautions are important for preventing the spread of infections, but in this case, the primary concern is bleeding due to low platelet counts.

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Correct Answer is A

Explanation

A. The primary treatment for congenital aganglionic megacolon (Hirschsprung's disease) is surgical intervention to remove the affected segment of the bowel, allowing for normal bowel function and preventing complications such as bowel obstruction.

B. Oral iron preparations would not address the underlying condition of Hirschsprung's disease, which is related to the lack of nerve cells in the bowel.

C. While counseling may be beneficial for the caregivers regarding the diagnosis and care, it is not the primary treatment for Hirschsprung's disease.

D. While enemas may be used temporarily to relieve constipation, they are not a definitive treatment for the disease, which requires surgical correction.

Correct Answer is ["300"]

Explanation

To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.

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A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?

Correct Answer is A

Explanation

Correct Answer is ["300"]

Explanation

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