A nurse is reviewing data for patients on an inpatient unit. Which patient will the nurse see first?

A 6-year-old who has asthma and an oxygen saturation of 94% on room air.

A 10-year-old who has sickle cell anaemia reporting severe chest pain.

A 47-year-old who has diabetes insipidus with a urine specific gravity of 1.010.

A 5-year-old who has respiratory syncytial virus (RSV) with a temperature of 102.2°F.

Answer and Explanation

The Correct Answer is B

Choice A reason: While an oxygen saturation of 94% is slightly low, it is not an immediate emergency for a child with asthma. This patient can be monitored but does not require the nurse's immediate attention.

Choice B reason: Severe chest pain in a patient with sickle cell anaemia can indicate a serious complication known as acute chest syndrome, which is a medical emergency. This condition requires immediate assessment and intervention to prevent life-threatening complications.

Choice C reason: A urine specific gravity of 1.010 indicates dilute urine, which is typical for a patient with diabetes insipidus. While this condition requires management, it is not an immediate emergency compared to severe chest pain in a sickle cell anaemia patient.

Choice D reason: A fever of 102.2°F in a child with respiratory syncytial virus (RSV) is concerning and requires attention, but it is not as immediately life-threatening as severe chest pain in a sickle cell anaemia patient. This patient can be seen after addressing the more urgent case.

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Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help relieve pain and reduce inflammation associated with cracked nipples and engorged breasts. It is commonly used to manage postpartum pain and can provide significant relief, making breastfeeding more comfortable for the patient.

Choice B reason: Vigorous massage is not recommended for engorged breasts as it can cause additional pain and may worsen the condition. Gentle massage may help in some cases, but vigorous massage can lead to tissue damage and further discomfort. The focus should be on gentle techniques to manage engorgement.

Choice C reason: Cold compresses are effective in reducing swelling and providing pain relief for engorged breasts. Applying cold packs to the breasts can help reduce inflammation and soothe discomfort, making it easier for the patient to breastfeed. Cold therapy is a simple and non-invasive method to manage engorgement and related symptoms.

Choice D reason: Formula supplements are generally not recommended as a first-line intervention for breastfeeding issues, especially when the goal is to promote exclusive breastfeeding. Introducing formula can interfere with milk supply and the breastfeeding process. Instead, addressing the underlying issues such as latch and nipple care is more appropriate.

Choice E reason: A lactation consult is an essential intervention for a patient experiencing breastfeeding difficulties. Lactation consultants are trained to provide support and guidance on breastfeeding techniques, including how to achieve a proper latch, manage engorgement, and care for cracked nipples. Their expertise can significantly improve the breastfeeding experience and help resolve common issues.

A. Human papillomavirus B. Pelvic inflammatory disease C. Cardiac arrhythmias D. Extreme weight loss

Correct Answer is B

Explanation

Choice A reason: Human papillomavirus (HPV) is a separate infection that is not a direct complication of untreated chlamydia. While both are sexually transmitted infections, they have different causative agents and manifestations.

Choice B reason: Pelvic inflammatory disease (PID) is a serious complication that can arise from untreated chlamydia. PID can lead to severe reproductive health issues, including chronic pelvic pain, ectopic pregnancy, and infertility. Monitoring and treating chlamydia is crucial to prevent the development of PID.

Choice C reason: Cardiac arrhythmias are not a known complication of chlamydia. This condition pertains to abnormal heart rhythms, which are unrelated to the infection caused by chlamydia.

Choice D reason: Extreme weight loss is not directly associated with chlamydia infection. While untreated chlamydia can have significant health impacts, extreme weight loss is not a typical complication of this disease.

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A nurse is reviewing data for patients on an inpatient unit. Which patient will the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient three days postpartum who is exclusively breastfeeding. Upon assessment, the patient has cracked nipples, engorged breasts, and a painful latch. What will the nurse include in the patient's plan of care? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is B

Explanation

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