A nurse is caring for a child who ingested laundry detergent pods (Tide pods). Which of the following assessments is the nurse's priority?

Respiratory status

Bowel sounds

Burns of the mouth

Visual acuity

Answer and Explanation

The Correct Answer is A

A. Respiratory status is the priority due to the risk of aspiration, chemical pneumonia, or airway swelling, which can be life-threatening.

B. Bowel sounds are relevant but are secondary to airway and respiratory assessment.

C. Burns of the mouth may be present but do not take priority over respiratory assessment.

D. Visual acuity is not an immediate concern in detergent ingestion cases.

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Correct Answer is B

Explanation

A. Sleeping prone is not recommended following spinal surgery.

B. Log rolling prevents twisting the spine, which is crucial to avoid disrupting the instrumentation.

C. Sitting up immediately after surgery could cause pain and strain on the spine.

D. A six-month hospitalization is not typical following spinal instrumentation surgery.

A. Apply a eutectic mixture of lidocaine and prilocaine cream topically 10 minutes prior to the procedure. B. Position the infant's chin flexed to their chest and knees flexed to their abdomen during the procedure. C. Keep the infant NPO for 6 hr prior the procedure. D. Place the infant in an infant seat for 2 hr following the procedure.

Correct Answer is B

Explanation

A. Applying lidocaine/prilocaine cream 10 minutes prior would not be sufficient; it generally requires 30–60 minutes to be effective.

B. Flexing the chin to the chest and knees to the abdomen is the correct positioning for an infant during a lumbar puncture.

C. Keeping an infant NPO for 6 hours is unnecessary before a lumbar puncture.

D. Placing the infant in an infant seat post-procedure is not required; flat positioning is generally advised.

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A nurse is caring for a child who ingested laundry detergent pods (Tide pods). Which of the following assessments is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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