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A nurse is caring for a 7-year-old in the emergency department (ED).

Exhibits

Which of the following findings should the nurse include in today's teaching?

Select All That Apply.

Fruity breath odor

Excessive thirst

Negative ketones

Abdominal pain

Sweating

Nightmares

Double vision

Headache

Answer and Explanation

Correct Answer : A,B,D,E,H

A. Fruity breath odor: Expected during hyperglycemia or diabetic ketoacidosis; useful to teach for early recognition of complications.

B. Excessive thirst: Expected in diabetes; teaching should reinforce fluid needs and early symptom identification.

C. Negative ketones: Not expected to teach, as it is a lab result, not a symptom.

D. Abdominal pain: Expected in hyperglycemia or ketoacidosis.

E. Sweating: Expected in hypoglycemia, important for future recognition.

F. Nightmares: Unrelated to diabetes.

G. Double vision: More typical of severe hyperglycemia or other neurological issues.

H. Headache: Expected symptom of hypoglycemia.

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Correct Answer is D

Explanation

A. Temperature of 37.9°C (100.2°F):

A mild fever is not a contraindication to vaccination.

B. Family history of sudden unexpected infant death (SUID):

Family history of SUID is unrelated to MMR vaccination safety.

C. Taking an antihistamine for seasonal allergies:

Antihistamines and mild seasonal allergies are not reasons to delay vaccination.

D. Receiving prednisone for nephrotic syndrome

Prednisone is an immunosuppressant. Live vaccines like MMR should be postponed if the child is immunosuppressed.

A. Decreased respiratory rate B. Polyuria C. Hyperactivity D. Edema

Correct Answer is D

Explanation

A. Decreased respiratory rate:

Respiratory rate may increase due to fluid overload and acidosis, but decreased rate is not typical.

B. Polyuria:

In the initial phase of AKI, oliguria (low urine output) is common, not polyuria.

C. Hyperactivity:

Hyperactivity is unrelated to AKI; lethargy and confusion are more likely.

D. Edema:

Edema occurs due to fluid retention from decreased urine output in acute kidney injury (AKI).

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A nurse is caring for a 7-year-old in the emergency department (ED). Exhibits Which of the following findings should the nurse include in today's teaching? Select All That Apply.

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A nurse is caring for a 7-year-old in the emergency department (ED).

Exhibits

Which of the following findings should the nurse include in today's teaching?

Select All That Apply.