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 A
Explanation
A. Neutropenia significantly increases the risk of infection. Raw fruits and vegetables can harbor bacteria, so they should be avoided.
B. Daily hygiene is essential to prevent infection, especially in a child with neutropenia. Bathing every other day increases the risk of skin breakdown and infection.
C. Rectal temperatures can introduce bacteria into the rectum. Given the increased infection risk, oral or axillary temperatures are preferred.
D. Live vaccines should be avoided in patients with neutropenia as they can cause severe infections.
Correct Answer is C
Explanation
A. This heart rate is within the normal range for a child and does not indicate hemorrhage.
B. Flushing of the face can be caused by various factors and is not a specific sign of hemorrhage.
C. Frequent swallowing after a tonsillectomy can be a sign of post-operative bleeding as the child tries to clear blood from the throat.
D. This blood pressure is within the normal range for a child and does not indicate hemorrhage.
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