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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Question 1: The correct answer is Choice c. Perform developmental testing for delays.
Lead poisoning can lead to cognitive, behavioral, and developmental impairments, making developmental testing crucial for assessing potential delays and planning interventions. Developmental testing allows healthcare providers to identify any areas of concern early on, enabling them to implement appropriate interventions to support the child's development and mitigate the effects of lead poisoning.
Choice A rationale: Obtaining a stool specimen for lead levels is not the appropriate action in this scenario. Lead poisoning is typically assessed through blood lead levels, not stool specimens. Stool specimens are more commonly used for assessing gastrointestinal issues or infections rather than lead levels.
Choice B rationale: Initiating a low-iron diet for lead absorption is not recommended. Iron deficiency can actually increase lead absorption in the body, so reducing iron intake could potentially exacerbate the issue. Instead, ensuring an adequate intake of iron-rich foods may be beneficial for overall health but is not a primary intervention for lead poisoning.
Choice D rationale: Inspecting the skin for discoloration is not a relevant action for assessing lead poisoning. While lead poisoning can manifest in various symptoms, skin discoloration is not typically associated with lead exposure. Other signs and symptoms such as cognitive, behavioral, and developmental impairments are more indicative of lead poisoning.
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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