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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This temperature is too high and can cause severe burns. The recommended water heater temperature is 120° F (49° C) or lower.
B. Toddlers are curious and may explore electrical outlets and cords, leading to burns or electrocution. Keeping wires out of sight is essential.
C. Turning pot handles toward the front of the stove increases the risk of a toddler pulling on them, causing spills and burns. Handles should be turned inward.
D. This time frame is when the sun's rays are strongest, increasing the risk of sunburn. Outdoor activities should be scheduled during cooler parts of the day or when the sun is less intense.
Correct Answer is D
Explanation
A. Pediculosis capitis, also known as head lice, is transmitted through direct head-to-head contact or by sharing personal items such as hats or combs. It is not transmitted via respiratory droplets, so droplet precautions are not required. Standard precautions for lice, such as treating the infestation and avoiding close contact, are appropriate.
B. Viral conjunctivitis, also known as pink eye, is primarily spread through direct contact with the eye secretions or contaminated objects. While viral conjunctivitis can be spread via contact, it does not require droplet precautions. Instead, proper hand hygiene and contact precautions are important to prevent the spread of the infection.
C. Hepatitis A is transmitted primarily through the fecal-oral route and not through respiratory droplets. Therefore, droplet precautions are not necessary. Standard precautions, including proper hand hygiene and safe food handling, are important for preventing the spread of hepatitis A.
D. Seasonal influenza (flu) is transmitted via respiratory droplets when an infected person coughs or sneezes. Droplet precautions are recommended for individuals with influenza to prevent the spread of the virus. This includes wearing masks, practicing good hand hygiene, and maintaining distance from others.
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