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A nurse on a pediatric unit is receiving a change of shift report for a group of clients. Which of the following clients should the nurse see first?

A child who is postoperative following a tonsillectomy and reports moderate throat pain.

A child who had a cardiac catheterization using the femoral artery and has blanching of the toes

A child who has bacterial pneumonia and is due for their initial dose of IV antibiotics.

A child who has juvenile idiopathic arthritis and needs assistance with application of prescribed splints.

Answer and Explanation

The Correct Answer is B

A. A child who is postoperative following a tonsillectomy and reports moderate throat pain:

Pain is expected post-tonsillectomy and, while it should be managed, it is not immediately life-threatening.

B. A child who had a cardiac catheterization using the femoral artery and has blanching of the toes.

Blanching suggests compromised blood flow, which is a vascular emergency and must be addressed immediately.

C. A child who has bacterial pneumonia and is due for their initial dose of IV antibiotics:

Timely administration is important, but compromised circulation (choice B) takes priority.

D. A child who has juvenile idiopathic arthritis and needs assistance with application of prescribed splints:

Assisting with splints is not urgent compared to vascular compromise.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","D","E","H"]

Explanation

A. Fruity breath odor: Expected during hyperglycemia or diabetic ketoacidosis; useful to teach for early recognition of complications.

B. Excessive thirst: Expected in diabetes; teaching should reinforce fluid needs and early symptom identification.

C. Negative ketones: Not expected to teach, as it is a lab result, not a symptom.

D. Abdominal pain: Expected in hyperglycemia or ketoacidosis.

E. Sweating: Expected in hypoglycemia, important for future recognition.

F. Nightmares: Unrelated to diabetes.

G. Double vision: More typical of severe hyperglycemia or other neurological issues.

H. Headache: Expected symptom of hypoglycemia.

A. "Monitor your child for excessive sleepiness." B. "Administer the medication with a caffeinated beverage. C. "Administer the second dose of the medication at lunch time. D. "Monitor your child for weight gain."

Correct Answer is C

Explanation

A. "Monitor your child for excessive sleepiness."

Methylphenidate is a stimulant, so it more commonly causes insomnia or restlessness, not sleepiness.

B. "Administer the medication with a caffeinated beverage."

Caffeine is also a stimulant and can increase side effects such as jitteriness and increased heart rate.

C. "Administer the second dose of the medication at lunch time."

The second dose is typically given at lunch to avoid late-day administration, which could cause insomnia.

D. "Monitor your child for weight gain."

Methylphenidate can cause weight loss due to appetite suppression, so weight gain is not expected.

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A nurse on a pediatric unit is receiving a change of shift report for a group of clients. Which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 7-year-old in the emergency department (ED). Exhibits Which of the following findings should the nurse include in today's teaching? Select All That Apply.

Correct Answer is ["A","B","D","E","H"]

Explanation

A nurse is providing teaching to the parent of a child who has a new prescription for methylphenidate. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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