A nurse is caring for a child in the post-anesthesia care unit (PACU)

Exhibits
The nurse should first
dropdown
due to the child's
dropdown

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Polyuria:

Not associated with intussusception. It's more often seen in conditions like diabetes.

B. Scaphoid abdomen:

A scaphoid (sunken) abdomen is more associated with diaphragmatic hernia, not intussusception.

C. Gelatinous red stool:

"Currant jelly" stools (blood and mucus) are a classic sign of intussusception.

D. Generalized edema:

Edema is not a typical manifestation of intussusception.

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}

Explanation

Correct answers: The nurse should recognize that the findings in the EMR are consistent with acute glomerulonephritis as evidenced by urinalysis.

Rationale for correct answers:

Acute Glomerulonephritis (AGN): AGN is a known complication that can occur 1–2 weeks after a streptococcal infection (positive strep test a week ago). The child now has periorbital edema, hypertension (BP 141/88), lethargy, and tea-colored urine- all classic signs.

The urinalysis shows proteinuria, hematuria, and cloudy tea-colored urine, which are hallmark findings in AGN.

Rationale for incorrect answers:

Urinary tract infection: Typically causes dysuria, urgency, frequency, and often a positive leukocyte esterase or nitrites.

Mononucleosis: Would show lymphadenopathy, sore throat, and fatigue but is not consistent with current urinary findings or hypertension.

A delayed allergic reaction: Would be more likely to present with urticaria, pruritus, or respiratory compromise.

Congestive heart failure: Rare in children with no cardiac history and wouldn't explain the urinalysis findings.

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A nurse is caring for a child in the post-anesthesia care unit (PACU) Exhibits The nurse should first dropdown due to the child's dropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an infant who has intussusception. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a child in a pediatrician's office. Exhibits Complete the following sentence by using the lists of options. The nurse should recognize that the findings in the EMR are consistent with dropdown as evidenced by dropdown

Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}

Explanation

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A nurse is caring for a child in the post-anesthesia care unit (PACU)

Exhibits
The nurse should first
dropdown
due to the child's
dropdown