A nurse is planning to admit a preschooler from the 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 a fractured left femur.
A child who has cellulites of the right radius.
A child who has impetigo.
A child who has viral pneumonia.
The Correct Answer is A
Choice A rationale
A child who has a fractured left femur would be an appropriate roommate for a preschooler following Wilms’ tumor removal. This child does not have a contagious condition that would pose a risk to the preschooler.
Choice B rationale
A child who has cellulitis of the right radius would not be an appropriate roommate for a preschooler following Wilms’ tumor removal. Cellulitis is a bacterial skin infection and could potentially pose a risk of infection to the preschooler, who may have a compromised immune system after surgery.
Choice C rationale
A child who has impetigo would not be an appropriate roommate for a preschooler following Wilms’ tumor removal. Impetigo is a highly contagious skin infection and could pose a risk of infection to the preschooler.
Choice D rationale
A child who has viral pneumonia would not be an appropriate roommate for a preschooler following Wilms’ tumor removal. Pneumonia is a contagious respiratory infection and could pose a risk to the preschooler, especially if their immune system is compromised after surgery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Meperidine is not the first choice for pain management in sickle cell crisis due to its potential to cause seizures and other side effects.
Choice B rationale
Bed rest is recommended during a sickle cell crisis to decrease the body’s demand for oxygen, reduce the workload of the heart, and improve blood flow.
Choice C rationale
Limiting fluid intake is not recommended during a sickle cell crisis. Adequate hydration is important to prevent further sickling of cells and to maintain kidney function.
Choice D rationale
Cold compresses can cause vasoconstriction and may exacerbate the crisis. Warm compresses are usually recommended to increase blood flow and reduce pain.
Correct Answer is A
Explanation
Choice A rationale
Regular tuberculosis testing is recommended for children with HIV as they have a higher risk of developing tuberculosis due to their weakened immune system.
Choice B rationale
Doubling the child’s medications for the next 6 months is not a standard practice in HIV treatment. The dosage and regimen of antiretroviral therapy are carefully determined by healthcare providers based on the child’s specific needs and condition.
Choice C rationale
The risk of HIV transmission does not decrease after 2 weeks of zidovudine treatment. Antiretroviral therapy can reduce the viral load to undetectable levels, significantly reducing the risk of transmission, but this usually takes longer than 2 weeks to achieve.
Choice D rationale
Children with HIV do not need to repeat their childhood immunizations once they are in remission. The standard immunization schedule is generally followed for children with HIV, with some additional vaccines recommended due to their increased risk of certain infections.
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