A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

Maculopapular rash

Headache

Wheezing

Increased pulse

Answer and Explanation

The Correct Answer is C

Choice A reason:

A maculopapular rash may be an allergic reaction to the antibiotic. While this should be reported, wheezing is a more urgent concern.

Choice B reason:

A headache may be a side effect of the antibiotic, but it is not as urgent as wheezing.

Choice C reason:

Wheezing can indicate a potential serious allergic reaction or anaphylaxis to the antibiotic. This is the priority finding to report to the provider.

Choice D reason:

An increased pulse may be a side effect of the antibiotic, but it is not as urgent as wheezing.

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Correct Answer is C

Explanation

Choice A reason:

Determining the child's heart rate is important for assessing overall cardiovascular health, but it is not specific to evaluating the effectiveness of dornase alfa.

Choice B reason:

Weighing the child daily is important for monitoring overall nutritional status and fluid balance, but it is not specific to evaluating the effectiveness of dornase alfa.

Choice C reason:

Dornase alfa is a medication used to help clear mucus from the airways in individuals with cystic fibrosis. Therefore, auscultating the child's breath sounds for improved air exchange and reduced adventitious lung sounds is a direct way to evaluate the effectiveness of the medication.

Choice D reason:

Monitoring the child's 180 (assuming this is a typo and referring to heart rate) is important, but it is not specific to evaluating the effectiveness of dornase alfa.

A. Bryant B. Cervical skin C. Dunlop D. Buck extension

Correct Answer is D

Explanation

Choice A reason:

Bryant traction is used in infants with congenital hip dysplasia. It is not a form of skin traction for lower extremity fractures in adolescents.

Choice B reason:

Cervical skin traction is used for cervical spine injuries or surgeries, not for lower extremity fractures.

Choice C reason:

Dunlop traction is used for fractures of the humerus.

Choice D reason:

Buck extension traction is applied to the lower leg and uses a boot on the affected leg with weights to provide traction. It is commonly used for lower extremity fractures in adolescents.

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A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of the following actions should the nurse take to evaluate the effectiveness of the medication?

Correct Answer is C

Explanation

A nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse expect the provider to prescribe?

Correct Answer is D

Explanation

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