An anxious and irritable preschooler arrives in the ER, refusing to lie down to be examined. The child sits, leans forward in onto the hand, and drools saliva. The child is warm to the touch, is using accessory muscles to breath, and pale in color. The nurse should: Place in the correct order from highest to lowest priority (assume you can only do one at a time).
Notify the physician
Take the child’s vital signs
Start an IV
Draw blood gasses
Prepare for intubation
The Correct Answer is E,A,C,D,B
1. Prepare for intubation
2. Notify the physician
3. Start an IV
4. Draw blood gasses
5. Take the child's vital signs
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Cherry jello: Red or colored foods may be mistaken for bleeding post-tonsillectomy, so they are typically avoided initially.
b) Lemonade: Citrus or acidic beverages may irritate the throat post-surgery.
c) Mandarin oranges: Similarly, acidic fruits can cause irritation to the healing throat.
d) Applesauce: It's a smooth and non-irritating option that's commonly recommended post-tonsillectomy as it's gentle on the throat and easy to swallow.
Correct Answer is A
Explanation
a) Refer children with sore throats for throat cultures: Early detection and treatment of Group A streptococcal infections are crucial in preventing rheumatic fever. Throat cultures help identify the presence of streptococcal bacteria.
b) Conduct routine blood pressure screenings: While important for other health concerns, blood pressure screenings are not directly related to preventing rheumatic fever.
c) Recommend salicylates instead of ibuprofen for minor discomforts: Salicylates are not the primary intervention for preventing rheumatic fever; prompt antibiotic treatment for streptococcal infections is key.
d) Encourage routine cholesterol screenings: Cholesterol screenings are unrelated to the prevention of rheumatic fever.
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