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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

Answer and Explanation

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

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Correct Answer is C

Explanation

a) A large bore needle with Heimlich valve for needle aspiration: Not typically used in the management of diaphragmatic hernia.

b) A chest tube set up: While useful in other situations, it may not be the immediate priority in managing diaphragmatic hernia.

c) Intubation setup: Essential for respiratory support in newborns with diaphragmatic hernia, as it helps manage respiratory distress.

d) Appropriate self-inflating bag and correct mask size: Important for neonatal resuscitation but doesn’t specifically address the respiratory challenges associated with diaphragmatic hernia.

A. nephritis B. butterfly rash C. hepatomegaly D. arthritis E. osteochondritis

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

Explanation

a) nephritis: Common in lupus, involving inflammation of the kidneys.

b) butterfly rash: Characteristic rash across the cheeks and bridge of the nose, commonly seen in lupus.

c) hepatomegaly: While possible in certain conditions, it's not typically a primary manifestation of lupus.

d) arthritis: Joint inflammation and pain are common in lupus.

e) osteochondritis: While musculoskeletal symptoms can occur in lupus, osteochondritis is not a common manifestation.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

Correct Answer is C

Explanation

Which of the following are clinical manifestations of Lupus (SLE)?

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

Explanation

Which of the following are characteristics seen in bronchiolitis and RSV? (Select All That Apply . )

While doing a newborn assessment, the nurse finds the infants blood pressure in the arms is much higher than in the legs. The nurse suspects that the infant has dropdown

The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

What is the cardinal sign a nurse would expect to observe with intussusception?

An infant has had recurrent respiratory infections. The mother of the child expresses concern that the infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. Which response by the nurse would be most appropriate?

Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?