Exhibit 1. Diagnostic Results.
HbA1c 8.5%. Exhibit 2. Hgb 13.5 mg/dL. Hct 39%. WBC count 9,600/mm3.
Exhibit 3. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
Heart rate.
WBC count.
HbA1c.
Oxygen saturation.
The Correct Answer is D
Choice A rationale:
The nurse does not need to report the heart rate as it falls within the normal range for a school-age child, which is typically between 70-100 beats per minute.
Choice B rationale:
The WBC count is 9,600/mm3, which is within the normal range for a school-age child (4,500 to 13,500/mm3) Therefore, this finding does not warrant reporting to the provider.
Choice C rationale:
HbA1c level is 8.5%, indicating poor blood sugar control. However, this finding is related to the child's cystic fibrosis and not an immediate concern. The nurse should address this issue but does not need to urgently report it to the provider.
Choice D rationale:
Oxygen saturation is 95%, which is within the normal range (typically 95-100%) However, for a child with cystic fibrosis who may have respiratory issues, a lower oxygen saturation level might be concerning. Therefore, the nurse should report this finding to the provider for further evaluation and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Maintaining balance when standing with eyes closed is a test of the vestibular system and cerebellar function, not the trigeminal nerve.
Choice B rationale:
Exhibiting a gag reflex when stimulated with a tongue blade is a test of the glossopharyngeal and vagus nerves, not the trigeminal nerve.
Choice C rationale:
The trigeminal nerve is responsible for sensory input from the face and motor functions such as biting and chewing. Symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve, making choice C the correct answer.
Choice D rationale:
Correctly identifying specific scents is related to olfactory nerve function, not the trigeminal nerve.
Correct Answer is D
Explanation
Choice Arationale:
A temperature of 37.2°C (99°F) is slightly elevated but not a contraindication for the MMR vaccine. Low-grade fever is a common side effect of vaccines and is not a reason to withhold vaccination. The nurse should advise the parents to consult with the healthcare provider if the child has a moderate to high fever.
Choice Brationale:
Family history of seizures is not a contraindication for the MMR vaccine. The MMR vaccine is safe for individuals with a family history of seizures. However, if the child has a personal history of seizures, especially related to fever (febrile seizures), the healthcare provider should be consulted before vaccination.
Choice C rationale:
An upper respiratory infection 2 days ago is not a contraindication for the MMR vaccine. Minor illnesses without fever or systemic symptoms are not reasons to postpone routine vaccinations. The child should receive the vaccine as scheduled.
Choice D rationale:
Allergy to neomycin is the correct choice. Neomycin is an antibiotic that is sometimes present in vaccines, including the MMR vaccine. Individuals with a known allergy to neomycin should not receive vaccines containing this substance due to the risk of an allergic reaction. It is essential to screen for allergies to vaccine components to ensure the child's safety during vaccination.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.