A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia.

Exhibits

The nurse is collecting data on the adolescent 24 hr later. How should the nurse interpret the findings?

For each finding, click to specify whether the finding is unrelated to the admitting diagnosis, an indication of potential improvement, or an indication of potential worsening condition.

WBC count 17,000/mm3

Steatorrhea

Oxygen saturation 95% on 1 L oxygen via nasal cannula

Barrel chest

Hemoptysis 300 ML

Respiratory rate 32/min

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"}}

WBC count 17,000/mm3: Indication of Potential Improvement. The initial WBC count was 22,000/mm3, and 24 hours later, it has decreased to 17,000/mm3, indicating improvement.

Steatorrhea: Unrelated to Diagnosis. This symptom is typically associated with cystic fibrosis rather than pneumonia.

Oxygen saturation 95% on 1 L oxygen via nasal cannula: Indication of Potential Improvement. The decrease in oxygen requirement from 2 L to 1 L suggests the adolescent's respiratory status may be improving.

Barrel chest: Unrelated to Diagnosis. This physical finding is more indicative of chronic conditions such as cystic fibrosis rather than an acute pneumonia presentation.

Hemoptysis 300 mL: Indication of Potential Worsening Condition. The presence of significant hemoptysis indicates a worsening condition, possibly due to progression or complications of pneumonia.

Respiratory rate 32/min: Indication of Potential Improvement. The decrease in respiratory rate from 36/min to 32/min suggests a possible improvement in respiratory status.

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Correct Answer is D

Explanation

A. Tinnitus is not commonly associated with hypocalcemia. It is more often related to issues with the auditory system or certain medications.
B. Elevated blood pressure is not a typical sign of hypocalcemia. Hypocalcemia usually affects neuromuscular function rather than causing changes in blood pressure.
C. Constipation is not commonly linked to hypocalcemia. More frequent symptoms include neuromuscular irritability and spasms.
D. Muscle tremors are a common finding in hypocalcemia due to increased neuromuscular excitability. Hypocalcemia can lead to symptoms such as muscle cramps, spasms, and tremors due to the low levels of calcium affecting nerve and muscle function.

A. "You should place your child in a side-lying position on the affected side after you administer the medication." B. "You should allow your child's medication to reach room temperature prior to administration." C. "You should gently pull your child's ear upward." D. "You should sit your child in an upright position to administer the medication."

Correct Answer is B

Explanation

A. After administering otic medication, the child should be kept in a side-lying position on the opposite side (unaffected side) to allow the medication to flow into the ear canal properly.
B. Allowing the medication to reach room temperature before administration prevents dizziness and discomfort that can occur with cold drops. This is important for ensuring the child is comfortable and cooperates with the procedure.
C. For a 2-year-old, the ear should be gently pulled down and back to straighten the ear canal for proper administration of the medication.
D. Administering the medication with the child in an upright position is not the best method. The side-lying position allows better access to the ear canal and proper absorption of the medication.

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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