A nurse is prioritizing potential complications that may occur to a pediatric client who has cellulitis. Which of the following is the primary concern?
Methicillin resistance
Redness in affected area
Risk for recurrence
Possible sepsis
The Correct Answer is D
A. While methicillin resistance is a concern, it does not pose an immediate threat to the child’s life compared to the risk of sepsis.
B. Redness in the affected area is a typical symptom of cellulitis and, while it should be monitored, it is not the most urgent concern.
C. The risk for recurrence is important for long-term management but is not the primary concern in the acute phase of cellulitis.
D. Sepsis is the most immediate concern in cellulitis because the infection can rapidly spread into the bloodstream, leading to systemic infection and potential life-threatening complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.
B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.
C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.
D. Pancreatic enzymes should be administered with meals, not two hours after.
Correct Answer is D
Explanation
A. A low-fiber diet is not appropriate for Hirschsprung disease, as it can worsen constipation and other symptoms.
B. Daily enemas are typically used for symptom management, but they do not address the underlying cause of the disease.
C. While a colostomy may be performed in some cases, it is usually not permanent. Surgical removal of the aganglionic portion of the colon is the primary treatment.
D. The definitive treatment for Hirschsprung disease is the surgical removal of the aganglionic portion of the colon to allow normal bowel function.
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