A nurse is assessing a 3-year-old toddler diagnosed with bronchitis. Which clinical finding should prompt the nurse to anticipate a prescription for a chest x- ray?
The toddler is coughing intermittently without respiratory distress.
The toddler has a persistent high fever and audible crackles lung auscultation.
The toddler has a normal oxygen saturation and clear lung sounds.
The toddler has mild nasal congestion and occasional wheezing.
The Correct Answer is B
A. The toddler is coughing intermittently without respiratory distress: Intermittent coughing without additional concerning signs is typical of viral bronchitis and does not usually require imaging. Supportive care is often sufficient in these cases.
B. The toddler has a persistent high fever and audible crackles on lung auscultation: Persistent high fever and crackles may indicate a bacterial infection or pneumonia rather than simple bronchitis. A chest x-ray is warranted to evaluate for lung consolidation or other complications and guide treatment.
C. The toddler has a normal oxygen saturation and clear lung sounds: Normal oxygen levels and clear lungs suggest mild illness that does not necessitate imaging. Routine bronchitis is often managed without a chest x-ray in this scenario.
D. The toddler has mild nasal congestion and occasional wheezing: These findings are common in viral respiratory infections and mild bronchitis. They are not indications for a chest x-ray unless symptoms worsen or fail to improve.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Children are expected to count backwards from 20 to 1 by age 7.": Counting skills relate to cognitive development, not gross or fine motor skills. While some 7-year-olds may perform backward counting, this statement does not reflect motor skill development appropriate for teaching physical growth in school-age children.
B. School-age children demonstrate improved coordination and endurance, allowing participation in activities like running, jumping rope, and team sports: Between ages 6 and 12, children refine gross motor skills, develop better balance, and increase stamina. These improvements enable engagement in structured physical activities and sports, reflecting normal motor skill progression for this age group.
C. Physical development at this stage is minimal, and children do not typically engage in organized physical activities: This statement is inaccurate, as school-age children experience significant gains in strength, coordination, and endurance, making organized activities a critical part of development.
D. "By age 6, most children can use tools such as a screwdriver or hammer.": Fine motor skills like using tools develop gradually and vary widely among children. While some may demonstrate basic use, this level of precision is more advanced and not a standard expectation for all 6-year-olds.
Correct Answer is C
Explanation
A. "I should always place my baby on their belly to sleep to prevent flat spots on the head.": Placing a newborn on their stomach increases the risk of sudden infant death syndrome (SIDS). Supine positioning is recommended for safe sleep, and alternating head positions can help prevent positional plagiocephaly.
B. "I will let my baby sleep in an infant swing because it helps soothe them better.": Sleeping in an infant swing is unsafe due to risk of suffocation or positional asphyxia. Safe sleep guidelines recommend a firm, flat sleep surface in a crib or bassinet without soft objects.
C. "I will feed my baby whenever I see early hunger cues like rooting or sucking on fingers, rather than waiting for the baby to cry.": Responding to early hunger cues supports healthy feeding, promotes bonding, and prevents excessive crying. Feeding on cue ensures the infant receives adequate nutrition and supports growth.
D. "I will wait for my baby to cry before offering a feeding so I can be sure they are hungry.": Crying is a late hunger cue and may indicate that the infant is already distressed. Waiting until crying can make feeding more difficult and may affect feeding success and weight gain.
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