A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

Administer saline drops

Obtain visual acuity

Cleanse the eyes

Obtain a history

Answer and Explanation

The Correct Answer is B

A.   Administering saline drops may be appropriate if there is a foreign body or irritation, but it is not the priority in a case of blurred vision.
B.   The priority is to assess the child's visual acuity to determine the severity and possible cause of the blurred vision. This is essential to guide further diagnostic steps.
C.   Cleansing the eyes may be helpful if there is visible debris or infection, but it is not the first priority in assessing blurred vision.
D.   Obtaining a history is important but would follow after the visual acuity assessment, as it can help provide context for the symptoms.

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Correct Answer is ["C","D","E"]

Explanation

A. Normal feeding and swallowing would not be expected in a newborn with TEF, as they typically have difficulty feeding and may choke or cough.
B. Sunken abdomen is not a typical finding for TEF.
C. Excessive drooling is a common symptom due to the inability to swallow saliva properly.
D. Respiratory distress is a hallmark sign of TEF, as the fistula can lead to aspiration and breathing difficulties.
E. Coughing or choking during feeding is another classic sign of TEF due to the abnormal connection between the esophagus and the trachea.

A. Pyloric stenosis B. Hirschsprung's disease C. Enterocolitis D. Intussusception

Correct Answer is B

Explanation

A. Pyloric stenosis involves narrowing of the pylorus, causing vomiting and dehydration, not mechanical obstruction due to motility issues.
B. Hirschsprung's disease is a condition where part of the intestine lacks proper motility due to missing nerve cells, leading to a mechanical obstruction and constipation.

C. Enterocolitis typically involves inflammation and infection of the intestines, not a motility issue.
D. Intussusception is a condition where one part of the intestine telescopes into another, causing an obstruction, but it is not related to motility.

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A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with a diagnosis of tracheoesophageal fistula (TEF). Which of the following assessment findings may be present in a newborn with TEF? (Select All that Apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is caring for an infant who has inadequate motility of a portion of the intestine, resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

Correct Answer is B

Explanation

A nurse is preparing to perform a dressing change on a 6-year-old client with mild cognitive impairment (CI) from a sport injury. Which strategy should the nurse use to prepare the child for the dressing change?

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