A nurse is admitting an 8-year-old child to the pediatric unit.

The nurse suspects the child has bacterial meningitis.

Select words from the choices to fill in each blank in the following sentence. The child is at greatest risk for developing

and

.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Disseminated Intravascular Coagulation (DIC)- Bacterial meningitis can lead to septicemia, which may trigger DIC. Petechiae or purpura (noted earlier) suggest potential coagulation abnormalities. DIC results in widespread clotting and subsequent bleeding, which can be life-threatening.

Hydrocephalus- Meningeal inflammation can obstruct cerebrospinal fluid (CSF) flow, leading to increased intracranial pressure (ICP). Symptoms such as headache, lethargy, irritability, and nuchal rigidity suggest increased ICP and potential hydrocephalus development.

Hypothermia- The child presents with fever (38.7°C/101.7°F), which is typical in bacterial infections rather than hypothermia. Septic shock can cause hypothermia in late stages, but early-stage bacterial meningitis more commonly causes fever.

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Correct Answer is C

Explanation

A. Urine output 25 mL/hr – This is an adequate urine output for a school-age child and does not require withholding digoxin.
B. Oxygen saturation 88% – While low, this does not directly indicate digoxin toxicity or require withholding the medication. The underlying cause should be evaluated.
C. Heart rate 64/min – Digoxin can cause bradycardia, and a heart rate of 64/min is too low for a school-age child. Generally, digoxin should be withheld if the heart rate is below 70 bpm in children or below 90 bpm in infants.
D. Respiratory rate 18/min – This is within the normal range for a school-age child and does not warrant withholding digoxin.

A. Ask the child to hold their breath while the IV catheter is placed. B. Explain the procedure to the child in detail. C. Apply vapocoolant spray before the IV insertion. D. Place the IV catheter on the dominant arm.

Correct Answer is C

Explanation

A. "Ask the child to hold their breath while the IV catheter is placed." Holding breath can increase anxiety and is not necessary for IV insertion. Instead, distraction techniques (e.g., deep breathing, counting) are more effective.
B. "Explain the procedure to the child in detail." Preschoolers have limited understanding of medical procedures. Instead, use simple, age-appropriate language and possibly a demonstration with a toy.
C. "Apply vapocoolant spray before the IV insertion." Vapocoolant spray or topical anesthetics (e.g., EMLA cream) help reduce pain and anxiety associated with IV insertion.
D. "Place the IV catheter on the dominant arm." IV placement is typically based on vein accessibility, not dominance. However, placing it on the non-dominant arm may be preferable to avoid interference with activities.

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A nurse is admitting an 8-year-old child to the pediatric unit. The nurse suspects the child has bacterial meningitis. Select words from the choices to fill in each blank in the following sentence. The child is at greatest risk for developing ______ and ______.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child prior to administering digoxin. For which of the following findings should the nurse withhold the medication?

Correct Answer is C

Explanation

A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is admitting an 8-year-old child to the pediatric unit.

The nurse suspects the child has bacterial meningitis.

Select words from the choices to fill in each blank in the following sentence. The child is at greatest risk for developing

and

.