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.
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Related Questions
Correct Answer is D
Explanation
A. Morphine is more likely to cause hypotension (low blood pressure), not hypertension.
B. Stevens-Johnson syndrome is a severe allergic reaction not typically associated with morphine.
C. Prolonged wound healing is often associated with corticosteroids, not opioids like morphine.
D. Bradypnea (slowed breathing) is a common adverse effect of opioids, including morphine. It's crucial to monitor respiratory rate and depth closely in patients receiving morphine.
Correct Answer is A
Explanation
A. Phototherapy can increase a newborn's body temperature. Frequent monitoring is essential to prevent overheating.
B. Mittens may be used but their use is not directly related to phototherapy.
C. Applying lotion can interfere with the effectiveness of phototherapy. The newborn's skin should be kept clean and dry.
D. The newborn's eyes should be checked more frequently, typically every 4 hours, to monitor for any irritation or inflammation caused by the light.
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