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 C
Explanation
The correct answer is choice c. Sunken anterior fontanel.
Choice A rationale:
A heart rate of 162/min in a 2-month-old infant can be within the upper range of normal, especially if the infant is crying or agitated. While it is important to monitor, it is not the most critical finding in this context.
Choice B rationale:
A negative doll’s eye reflex (oculocephalic reflex) can indicate neurological issues, but it is not directly related to heart failure or the administration of furosemide.
Choice C rationale:
A sunken anterior fontanel indicates dehydration, which is a critical concern for an infant receiving furosemide, a diuretic that can lead to significant fluid loss. Dehydration can exacerbate heart failure and lead to severe complications.
Choice D rationale:
A potassium level of 5.1 mEq/L is slightly elevated but not immediately life-threatening. It requires monitoring and potential intervention but is not the most urgent issue compared to dehydration.
Monitoring for dehydration is crucial in infants on diuretics like furosemide, making the sunken anterior fontanel the priority finding.
Correct Answer is ["A"]
Explanation
The correct answer is choiceA. Your child should walk the bicycle through intersections.
Choice A rationale:
Walking the bicycle through intersections is a key safety measure to prevent accidents.It ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice B rationale:
This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, but not necessarily three to six inches off the ground.Proper seat height is crucial for balance and control.
Choice C rationale:
Keeping the bicycle at least three feet from the curb is not a standard safety recommendation.Instead, children should ride as close to the curb as safely possible, following the flow of traffic.
Choice D rationale:
Riding against the flow of traffic is dangerous and increases the risk of accidents.Bicyclists should always ride with the flow of traffic to be more predictable to drivers.
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