A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?

A toddler who is receiving intravenous fluids

A school-age child who is in a spica cast

An adolescent who has a urinary tract infection

A preschooler who has otitis media

Answer and Explanation

The Correct Answer is B

A.   Receiving IV fluids is important but it doesn't typically put a child at risk for insufficient vascular perfusion unless there are complications like fluid overload or infiltration.
B.   A spica cast can restrict movement and potentially impair circulation to the affected limb, increasing the risk of insufficient vascular perfusion.
C.   A urinary tract infection primarily affects the urinary system and doesn't directly impact vascular perfusion.
D.   Otitis media is an ear infection and does not typically affect vascular perfusion.

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Correct Answer is D

Explanation

A. While chicken soup is often considered a comfort food, it's not ideal for an infant with acute diarrhea. It's too heavy and can worsen symptoms.
B. Sugary drinks like white grape juice can actually worsen diarrhea. They can also lead to dehydration due to increased water loss.
C. While applesauce was once recommended as part of the BRAT diet, it's not considered as beneficial as it once was. It's better to offer oral electrolyte solutions.
D. Oral electrolyte solutions (ORS) are specifically designed to replenish fluids and electrolytes lost through diarrhea. They are essential in preventing dehydration.

A. Blood urea nitrogen (BUN) B. Partial thromboplastin time (PTT) C. C-reactive protein (CRP) D. Antistreptolysin O (ASO) titer E. Erythrocyte sedimentation rate (ESR)

Correct Answer is ["C","D","E"]

Explanation

A. BUN is primarily used to assess kidney function. While it can be elevated in some inflammatory conditions, it's not a specific marker for rheumatic fever.
B. PTT measures the time it takes for blood to clot. It's used to evaluate bleeding disorders, not inflammatory conditions like rheumatic fever.

C. CRP is a sensitive marker of inflammation. It is often elevated in rheumatic fever due to the inflammatory response.
D. ASO titer is a specific antibody against group A Streptococcus, the bacteria that often precedes rheumatic fever. Elevated ASO titers support the diagnosis.
E. ESR is another non-specific marker of inflammation. It is often elevated in rheumatic fever.

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A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?

Correct Answer is D

Explanation

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Correct Answer is ["C","D","E"]

Explanation

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