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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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 ["A","C","D","E"]
Explanation
A. The parent applying prescribed medication as instructed indicates proper understanding of post-operative care and adherence to treatment.
B. Allowing the child to lift their older sibling above the ground is inappropriate as it can lead to increased pressure on the ear, risking complications.
C. Enforcing nose blowing only when necessary is a correct action since excessive force can displace the tympanoplasty tube or introduce bacteria into the ear.
D. Planning to have the child use ear plugs in the shower is an effective precaution to protect the ears from water exposure, which is essential post-surgery.
E. Reporting purulent drainage immediately to the surgeon shows awareness of potential complications and the need for prompt medical attention.
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