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A nursing student is caring for a child with trisomy 21 (Down syndrome) who has a fever and is experiencing difficulty breathing, Which intervention should the nurse prioritize?

Assess the child's respiratory status and oxygen saturation.

Provide comfort measures such as repositioning and soothing techniques.

Offer the child fluids to maintain hydration.

Administer a fever-reducing medication as ordered.

Answer and Explanation

The Correct Answer is A

A. Assessing respiratory status and oxygen saturation is the priority to monitor for any respiratory distress.

B. Comfort measures can be provided but are secondary to assessing breathing difficulty.

C. Hydration is important but does not take precedence over respiratory assessment.

D. Administering a fever-reducing medication is supportive but does not address the breathing difficulty directly.

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Correct Answer is B

Explanation

A. Irritability and difficulty feeding may indicate shunt malfunction, so monitoring these signs is appropriate.

B. VP shunts may require additional surgeries for adjustments, replacements, or complications, so this statement shows a misunderstanding.

C. The VP shunt does help drain excess cerebrospinal fluid from the brain to relieve pressure.

D. Increased intracranial pressure (ICP) from cerebrospinal fluid buildup is the reason for using the VP shunt.

Correct Answer is ["8.3"]

Explanation

To calculate the dosage of acetaminophen for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 44 pounds, which is equivalent to 20 kilograms (44 ÷ 2.2). The prescribed dose is 10 mg/kg, so the child's dose is 200 mg (20 kg × 10 mg/kg). Since the available medication is 120 mg/5 mL, divide the child's dose by the concentration to find the volume: 200 mg ÷ (120 mg/5 mL) = 8.33, which rounds to 8.3 mL.

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A nursing student is caring for a child with trisomy 21 (Down syndrome) who has a fever and is experiencing difficulty breathing, Which intervention should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides education to the parent of an infant being treated for hydrocephalus with a ventriculoperitoneal (VP) shunt. Which statement by the parent indicates the need for further instruction?

Correct Answer is B

Explanation

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 44 pounds. The amount available is acetaminophen 120 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["8.3"]

Explanation

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