A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

Administer 0,9% sodium chloride IV solution.

Assist with obtaining an x-ray of the child's neck

Initiate IV antibiotics.

Place the child on droplet precautions

Answer and Explanation

The Correct Answer is D

A. Administer 0.9% sodium chloride IV solution: Although IV fluids might be necessary to maintain hydration and circulation, this is not the priority over preventing the spread of infection.

B. Assist with obtaining an x-ray of the child's neck. Imaging can help confirm the diagnosis but should be done after ensuring infection control measures.
C. Initiate IV antibiotics. Antibiotics are crucial for treatment but should follow the implementation of droplet precautions to prevent the spread of infection.
D. Place the child on droplet precautions.
Epiglottitis is a medical emergency primarily caused by bacterial infections, such as Haemophilus influenzae type B (Hib). The first priority is to ensure the safety of both the patient and others by preventing the spread of infection. Placing the child on droplet precautions helps to contain the bacteria and protect healthcare workers and other patients.

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

Explanation

A. The child and family will integrate diabetes care into patterns of daily activity:
Correct Answer: Correct.
Explanation: Integrating diabetes care into daily activities helps the child manage their condition more effectively. This goal encourages normalization of the routine, making it easier for the child to participate in social events.
B. The child and family will discuss all aspects of the illness and its treatments:
Correct Answer: Correct.
Explanation: Open communication about the illness and its treatments is crucial for understanding and managing diabetes. This goal promotes family education and support, which can help alleviate concerns.
C. The child will use effective coping mechanisms to manage anxiety:
Correct Answer: Correct.
Explanation: Managing anxiety is important for overall well-being. Teaching the child effective coping mechanisms helps them navigate the emotional aspects of living with diabetes and participating in social events.
D. The child and family will discuss their concerns with the child's teachers and the school nurse:
Correct Answer: Correct.
Explanation: Communication with school personnel is essential to ensure a supportive environment for the child. Discussing concerns with teachers and the school nurse promotes awareness and collaboration in managing the child's diabetes at school.
E. The child's normal growth and development will be maintained:
Correct Answer: Correct.
Explanation: Maintaining normal growth and development is a crucial goal. It ensures that the child can engage in age-appropriate activities and social events while managing their diabetes effectively.

A. Orthopnea B. Bradycardia C. Weight loss D. Increased urine output

Correct Answer is A

Explanation

A. Orthopnea
Explanation:
Orthopnea refers to difficulty breathing that occurs when lying flat. In heart failure, fluid may accumulate in the lungs, leading to respiratory distress when the child is in a supine position. Orthopnea is a common symptom of heart failure in both adults and children.
B. Bradycardia
Explanation: Bradycardia (slow heart rate) is not a typical finding in heart failure. Heart failure often leads to compensatory mechanisms, including an increased heart rate (tachycardia), to maintain cardiac output.
C. Weight loss
Explanation: Weight loss is not a typical finding in heart failure. In fact, heart failure in children may lead to fluid retention and weight gain rather than weight loss.
D. Increased urine output
Explanation: Heart failure in toddlers is more likely to be associated with decreased urine output rather than increased urine output. Reduced cardiac output can result in decreased blood flow to the kidneys, leading to decreased urine production and potential fluid retention. Increased urine output is not a characteristic finding in heart failure.

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A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is A

Explanation

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