A nurse is planning to admit a preschooler from a PACU following removal of a Wilms' tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler?
A child who has cellulitis of the right radius
A child who has viral pneumonia
A child who has impetigo
A child who has a fractured left femur
The Correct Answer is D
A. A child who has cellulitis of the right radius: Cellulitis is a bacterial skin infection that can be contagious, particularly if open lesions are present. Rooming the preschooler with this child increases the risk of infection.
B. A child who has viral pneumonia: Viral pneumonia is highly contagious through respiratory droplets. Placing the postoperative preschooler with this child could expose them to infection, which may compromise recovery and immune function following surgery.
C. A child who has impetigo: Impetigo is a contagious bacterial skin infection. Postoperative children, particularly those recovering from major surgery, are at higher risk for complications from infections, making this roommate inappropriate.
D. A child who has a fractured left femur: A child with a non-infectious condition such as a fracture poses no risk of transmitting infection. Rooming the preschooler with this child supports a safe postoperative environment and minimizes the risk of complications related to infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased heart rate: Infants with patent ductus arteriosus often experience increased cardiac workload due to left-to-right shunting. This typically leads to tachycardia rather than a decreased heart rate as the heart compensates to maintain adequate cardiac output.
B. Increased temperature: Patent ductus arteriosus is a cardiac condition and does not directly cause fever. An elevated temperature would more likely indicate infection or another inflammatory process rather than a hemodynamic effect of the defect.
C. Increased respiratory rate: Left-to-right shunting in patent ductus arteriosus increases pulmonary blood flow, leading to pulmonary congestion and respiratory distress. This commonly presents as tachypnea, especially during feeding or activity, making an increased respiratory rate an expected finding.
D. Decreased systolic blood pressure: Infants with PDA more commonly have widened pulse pressure due to diastolic runoff into the pulmonary circulation. A decreased systolic blood pressure is not a typical or expected assessment finding in this condition.
Correct Answer is A
Explanation
A. Weigh the client daily: Acute glomerulonephritis commonly causes fluid retention due to impaired renal filtration. Daily weights provide the most accurate assessment of fluid balance and help detect subtle increases in fluid volume that may indicate worsening edema or renal function.
B. Increase the client’s dietary protein intake: Protein intake is often restricted in acute glomerulonephritis to reduce the workload on the kidneys and limit nitrogenous waste production. Increasing protein could worsen azotemia and place additional stress on renal function.
C. Assess the client’s blood pressure every 8 hr: Blood pressure monitoring is important because hypertension is common in acute glomerulonephritis. However, daily weights are a more sensitive and priority measure for detecting fluid overload, which directly contributes to hypertension and edema.
D. Avoid palpating the client’s abdomen: Abdominal palpation is not contraindicated in acute glomerulonephritis. While care should be gentle, avoiding abdominal assessment is unnecessary and does not directly address the primary concerns of fluid balance and renal function.
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