A nurse is admitting a pediatric client to the unit who has leukemia. Which client should the nurse place in the same room with this child?

A child who is recovering from nasopharyngitis

A child who has nephrotic syndrome

A child who has gastroenteritis

A child who has rheumatic fever

Answer and Explanation

The Correct Answer is B

A. A child recovering from nasopharyngitis could still be contagious, and since children with leukemia have compromised immune systems, they are at higher risk of infections.

B. A child with nephrotic syndrome, although potentially needing special care, does not pose the same infection risk as a child recovering from an infectious disease. Therefore, they are a more suitable roommate for a child with leukemia.

C. A child with gastroenteritis may still be infectious and could expose the child with leukemia to gastrointestinal pathogens.

D. A child with rheumatic fever does not have a contagious illness, but the specific needs of the child with leukemia and the potential for complications from infections make it less ideal compared to a non-infectious condition like nephrotic syndrome.

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Correct Answer is D

Explanation

A. While monitoring blood pressure is important, a blood pressure of 98/62 mm Hg may not immediately warrant notification unless there are signs of hypotension or other symptoms. The focus should be on careful management of fluid and electrolytes.

B. In cases of acute renal failure, potassium levels can become elevated due to impaired renal function. Therefore, IV fluids should typically be low in potassium to prevent hyperkalemia.

C. In acute renal failure, a diet high in protein and sodium is not recommended. Instead, dietary restrictions are usually advised to manage waste products and fluid balance.

D. Administering IV fluids slowly helps to prevent fluid overload, which is crucial in managing renal failure and maintaining hemodynamic stability.

A. When hearing a loud noise, the infant cries and extends both arms and legs. B. When stroking the outer edge of the sole of the infant's foot, the toes fan upward and out. C. When infant's head is turned to one side, extension of the same side arm and leg occurs. D. When stroking the cheek, the infant turns toward that side of stimulation.

Correct Answer is B

Explanation

A. The Moro reflex, where the infant cries and extends both arms and legs in response to a loud noise, typically disappears by 4-6 months of age and would not be expected at 8 months.

B. The Babinski reflex, where the toes fan upward and out when the outer edge of the sole is stroked, is normal in infants and usually disappears by 12-24 months of age.

C. The tonic neck reflex (fencing reflex) typically disappears around 4-6 months of age, so it would not be expected in an 8-month-old.

D. The rooting reflex, where the infant turns their head toward the side of stimulation when the cheek is stroked, typically disappears by 3-4 months of age.

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A nurse is admitting a pediatric client to the unit who has leukemia. Which client should the nurse place in the same room with this child?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Explanation

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