A nurse is caring for a child who is 2 hr postoperative.

Exhibits

Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Compare the child's pedal pulses.

Determine the child's sedation level.

Assess the child's pain level.

Recheck the child's temperature.

Answer and Explanation

Correct Answer : A

Given the child's recent motor vehicle accident and subsequent orthopedic surgeries, assessing the peripheral circulation is crucial. Comparing pedal pulses helps to determine the adequacy of blood flow to the lower extremities and identify any potential complications such as compartment syndrome. This assessment should be prioritized immediately.

While assessing pain, sedation level, and rechecking temperature are all important, they do not take precedence over assessing the child's circulation and perfusion status following major orthopedic surgeries.

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Correct Answer is C

Explanation

A. This statement indicates a misunderstanding of HIV medication management. Medication regimens are carefully tailored and adjusted as needed, but doubling the dose without medical advice is dangerous.
B. There is no cure for HIV, and "remission" is not a term used in this context. Additionally, some live vaccines are contraindicated in immunocompromised individuals, including those with HIV.
C. People with HIV are at increased risk of tuberculosis. Regular TB testing is crucial for early detection and treatment.
D. While antiretroviral therapy (ART) can significantly reduce the viral load and risk of transmission, it doesn't eliminate the risk entirely. Consistent use of condoms and other prevention methods is still essential.

A. An increase in venous pressure B. A decrease in peripheral edema C. An increase in potassium levels D. A decrease in cardiac output

Correct Answer is B

Explanation

A. Furosemide is a diuretic that helps to reduce fluid volume, which would lead to a decrease in venous pressure, not an increase.
B. Furosemide is primarily used to reduce fluid retention (edema). A decrease in peripheral edema indicates that the medication is working effectively.
C. Furosemide can actually cause hypokalemia (low potassium levels) as a side effect.
D. Furosemide is used to improve cardiac output by reducing the fluid overload that puts a strain on the heart.

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A nurse is caring for a child who is 2 hr postoperative. Exhibits Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Nursing Test Bank

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Correct Answer is B

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A nurse is caring for a child who is 2 hr postoperative.

Exhibits

Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)