A nurse is caring for a 15-year-old adolescent.
The nurse reviews the EMR and determines that the adolescent is at risk for developing which of the following complications?
The adolescent is at risk for developing ___ and ___
muscle cramps
pneumothorax
dehydration
anemia
Correct Answer : B,C
The adolescent is at risk for developing Target 1: dehydration and Target 2: pneumothorax.
Rationale:
- Dehydration: The adolescent's fever, increased respiratory rate, and decreased oral intake put them at risk for dehydration.
- Pneumothorax: In severe pneumonia, there is a risk of lung collapse or pneumothorax, especially in adolescents.
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Related Questions
Correct Answer is C
Explanation
A. By age 6, while children can dress themselves, they may still need assistance with more complex grooming tasks, making this statement too absolute.
B. Counting backwards from 20 to 1 is typically expected by age 8, not age 7, indicating this statement is inaccurate regarding cognitive development.
C. Engaging in motor activities that require balance, such as jumping rope, is appropriate for children around age 6, demonstrating the expected physical development in this age group.
D. While children can use simple tools, mastery and effective use of tools like a screwdriver or hammer are more typical around ages 8 to 10, making this statement premature for age 6.
Correct Answer is ["B","C","E"]
Explanation
A. Cyanosis of the lips and tongue is not a typical finding in coarctation of the aorta; rather, it is more associated with cyanotic congenital heart defects.
B. Weak or absent femoral pulses are expected due to reduced blood flow to the lower body, as the coarctation typically occurs distal to the left subclavian artery.
C. Bounding pulses in the upper extremities are common because the blood flow to the upper body is increased, leading to stronger pulses.
D. High blood pressure in the lower extremities is not typical; instead, there is often lower blood pressure in the lower body due to the obstruction.
E. Poor feeding and irritability are common symptoms in infants with heart conditions, as they may be in distress or not getting enough blood flow to meet their metabolic needs.
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