A nurse is caring for a preschooler.
Which of the following findings should the nurse report to the healthcare provider immediately? (Select all that apply)

Platelet count.

Emesis.

Absolute neutrophil count.

Loss of appetite.

Answer and Explanation

The Correct Answer is C

An abnormal absolute neutrophil count in a preschooler should be reported to the healthcare provider immediately. Neutrophils are a type of white blood cell that play a key role in the body’s immune response. An abnormal count could indicate an infection, inflammation, or other serious health conditions.

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Correct Answer is D

Explanation

Choice A rationale

Lubricating the suction catheter tip with sterile saline is not recommended because it can introduce bacteria into the tracheostomy tube and cause infection.

Choice B rationale

Hyperventilating the patient on 100% oxygen prior to suctioning is not necessary and can cause complications such as oxygen toxicity.

Choice C rationale

Performing chest physiotherapy prior to suctioning is not typically done during tracheostomy care. Chest physiotherapy is a separate procedure that involves physical techniques to remove mucus from the respiratory tract.

Choice D rationale

Suctioning two to three times with a 60-second pause between passes is the correct action. This helps to remove secretions effectively without causing hypoxia.

A. Gently reinsert the bowel back into the patient’s wound. B. Place the head of the patient’s bed in the flat position. C. Apply moistened sterile gauze to the site. D. Position the patient on his left side.

Correct Answer is C

Explanation

Choice A rationale

Gently reinserting the bowel back into the patient’s wound is not recommended. This could cause further harm to the patient.

Choice B rationale

Placing the head of the patient’s bed in the flat position is not the best action. This position may not provide the necessary comfort or safety for the patient.

Choice C rationale

Applying moistened sterile gauze to the site is the correct action. This helps to protect the protruding bowel and prevent further contamination until surgical intervention can be performed.

Choice D rationale

Positioning the patient on his left side is not the best action in this situation. It does not directly address the issue of the protruding bowel.

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A nurse is caring for a preschooler. Which of the following findings should the nurse report to the healthcare provider immediately? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is performing tracheostomy care for a patient and plans to remove copious secretions. What actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do?

Correct Answer is C

Explanation

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A nurse is caring for a preschooler.
Which of the following findings should the nurse report to the healthcare provider immediately? (Select all that apply)