A parent reports their preschool-aged child often asks others to repeat statements and does not articulate common words correctly. The parents think the child has a hearing impairment due to multiple episodes of ear infections and rupture tympanic membranes. The nurse inspects the outer ear canal using an otoscope and no obstruction, inflammation, or drainage is observed. Which action is most important for the nurse to implement?
Clap behind the child's ears to assess for a reflex response to sound.
Refer the child for further evaluation and screening with audiometric testing.
Explain that preschool-agers may not respond when engaged in a task at play.
Inspect the nasal canals and oropharynx for inflammation and drainage.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
C. Manual resuscitation bag: In the case of a child with inspiratory stridor and retractions, there is a concern about airway obstruction. Having a manual resuscitation bag available is crucial to ensure that the child's airway can be effectively managed in case of respiratory distress.
E. An advanced airway kit: If the child's condition worsens and he experiences severe respiratory distress or failure, an advanced airway may be necessary to secure the airway and provide proper oxygenation. Having an advanced airway kit available is important in case intubation becomes necessary.
Incorrect answers:
A. Elbow restraints: Elbow restraints are not typically used during peripheral intravenous line placement. They are used to prevent children from bending their arms excessively after specific surgeries or procedures.
B. The child's favorite toy: While having a favorite toy might help distract the child and reduce anxiety, it is not a critical item needed for the placement of a peripheral intravenous line.
D. A dose of subcutaneous epinephrine: Subcutaneous epinephrine is not used for the placement of an intravenous line. It is typically used to treat severe allergic reactions (anaphylaxis).
F. Nebulized albuterol: Nebulized albuterol is a medication used to treat bronchospasm in conditions such as asthma. While the child is experiencing respiratory distress, the priority is to secure the airway and provide oxygenation, which may involve using a manual resuscitation bag and an advanced airway kit.
Correct Answer is ["6"]
Explanation
Given: Prescribed dose = 300 mg Concentration = 250 mg/5 mL
Let's plug in the values:
Amount (mL) = 300 mg / (250 mg/5 mL)
First, calculate the concentration in mg per mL: 250 mg / 5 mL = 50 mg/mL
Now substitute this value into the formula:
Amount (mL) = 300 mg / 50 mg/mL
Amount (mL) = 6 mL
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