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A nurse is planning care for a child who has been in a car accident and appears to have spinal trauma. Which of the following diagnostic tests should the nurse expect to be ordered to determine the extent of the injury? (Select All that Apply.)

X-rays

CT scan

Lumbar puncture

Magnetic stimulation

Magnetic resonance imaging (MRI)

Answer and Explanation

Correct Answer : A,B,E

A. X-rays are often the first imaging test used to assess bone fractures and spinal alignment.

B. A CT scan provides detailed cross-sectional images of the spine, helping identify fractures and other injuries.

C. A lumbar puncture is used to analyze cerebrospinal fluid, not to diagnose spinal trauma.

D. Magnetic stimulation is used for therapeutic purposes, not for diagnosing spinal injuries.

E. MRI provides detailed images of soft tissues, such as spinal cord injuries or disc herniation.

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Correct Answer is C

Explanation

A. The 18-month-old shows signs of improving hydration status, evidenced by adequate wet diapers and food intake. This client is stable.

B. The adolescent with mild postoperative pain and preparing for discharge is stable and does not require immediate attention.

C. The toddler's low oxygen saturation (91%) and continued coughing indicate potential airway obstruction or impaired gas exchange, which requires immediate assessment and intervention to prevent respiratory failure.

D. Although the 6-year-old with asthma should be monitored, their last use of a rescue inhaler 16 hours ago suggests they are not in acute distress.

A. Frequent, loose bowel movements B. Abdominal pain or discomfort C. Excessive thirst D. Difficulty concentrating E. Weight gain F. Excessive flatulence G. Soiling of underwear or clothing H. Frequent urination I. Blood in the stool

Correct Answer is ["B","F","G"]

Explanation

A. Encopresis is typically associated with constipation and fecal impaction, not frequent loose bowel movements.

B. Abdominal discomfort is common due to fecal retention.

C. Excessive thirst is not a symptom of encopresis.

D. Difficulty concentrating is not directly related to encopresis.

E. Weight gain is not a typical manifestation of encopresis.

F. Flatulence can occur due to retained stool and gas buildup.

G. Soiling is a hallmark feature of encopresis.

H. Frequent urination is not commonly associated with encopresis.

I. Blood in the stool is more indicative of other gastrointestinal conditions.

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A nurse is planning care for a child who has been in a car accident and appears to have spinal trauma. Which of the following diagnostic tests should the nurse expect to be ordered to determine the extent of the injury? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?

Correct Answer is C

Explanation

Which of the following are common manifestations of encopresis? (Select All that Apply.)

Correct Answer is ["B","F","G"]

Explanation

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