A nurse is caring for a child in the post-anesthesia care unit (PACU)
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
The nurse should first: Notify the surgeon due to the child's: Throat clearing
Rationale for correct answer:
Frequent swallowing and throat clearing after tonsillectomy are early signs of bleeding, a serious postoperative complication. This requires immediate attention.
Rationale for incorrect answers:
Provide a diversional activity: Not priority in this urgent context.
Administer PRN pain medication: Important, but not first given the concern for bleeding.
Offer the child a popsicle: Contraindicated if bleeding is suspected.
Provide discharge education: Not appropriate until the child is stable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Steatorrhea
This refers to fatty, foul-smelling stools and is associated with malabsorption syndromes (e.g., celiac disease), not UTIs.
B. Jaundice
Jaundice is typically associated with liver or hemolytic conditions. It is not a symptom of a urinary tract infection.
C. Incontinence
In a toilet-trained toddler, new or increased episodes of incontinence may indicate a UTI. Toddlers may have difficulty expressing pain or urinary urgency, so regression in toilet habits is often a key indicator.
D. Rebound tenderness
Rebound tenderness indicates peritoneal irritation, seen in conditions like appendicitis—not in uncomplicated UTIs.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
The toddler is at risk for developing hearing loss as evidenced by the toddler’s bone biopsy results.
Rationale for correct answers:
Osteogenesis Imperfecta (OI): Confirmed by bone biopsy showing decreased trabecular and cortical bone volume. Classic features: recurrent fractures with minimal trauma, blue sclera, dentinogenesis imperfecta (grey teeth). OI can cause conductive hearing loss due to abnormalities in the bones of the middle ear.
Rationale for incorrect answers:
Hyperkalemia and hypercalcemia: Not supported by findings; there's no lab evidence or indication for this.
Compartment syndrome: No signs like severe pain, pallor, paresthesia, pulselessness, or pressure; capillary refill is normal (<3 seconds).
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