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Exhibits

Complete the following sentence by using the lists of options.

The nurse should first address the child's

followed by the child's .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Rationale for Correct Answers:

  • Level of alertness: This is a primary indicator of neurological function and potential deterioration in a child with suspected meningitis. Altered alertness may signal increased intracranial pressure or brain involvement, and it requires immediate attention.
  • Mental status: While related to alertness, mental status encompasses behavior, orientation, and responsiveness. It is important to monitor next to evaluate for progression of neurological compromise after ensuring the child is responsive.

Rationale for Incorrect Choices:

  • Decreased appetite: A common symptom in many illnesses but not immediately life-threatening. It is not a priority in acute neurological assessment.
  • Irritability: Can be an early sign of neurological irritation but is less critical than decreased alertness and changes in mental status.
  • Hypoactive bowel sounds: This may reflect reduced gastrointestinal activity from illness or immobility but is not an urgent concern compared to neurological findings.


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Related Questions

Correct Answer is B

Explanation

A. Administer IV antibiotics: While timely antibiotic administration is critical for treating osteomyelitis, obtaining cultures before starting antibiotics ensures accurate identification of the causative organism and appropriate therapy.

B. Obtain a blood culture: Collecting blood cultures first is the priority to identify the infection source and guide targeted antibiotic treatment. This step should precede antibiotic administration whenever possible.

C. Request a referral for physical therapy: Physical therapy is an important part of the long-term management of osteomyelitis to maintain mobility and prevent complications. However, it is not the immediate priority; identifying and treating the infection takes precedence.

D. Record intake and output: Monitoring fluid balance is important for overall care but does not take precedence over identifying the infectious agent and initiating treatment.

Correct Answer is C

Explanation

A. Indicate on a stuffed animal where the procedure will be performed: Demonstrating on a stuffed animal is more appropriate for younger children such as toddlers or preschoolers. School-age children benefit more from visual aids that relate to their own bodies.

B. Provide teaching immediately before the procedure: Teaching right before surgery can increase anxiety and does not allow the child adequate time to process information or ask questions.

C. Use simple diagrams to explain the procedure: Visual aids like simple diagrams help school-age children understand what will happen in a way that is appropriate for their cognitive level, reducing fear and promoting cooperation.

D. Discuss the benefits of the procedure: While discussing benefits is important, the primary focus before surgery should be clear, age-appropriate explanations of the procedure itself to prepare the child effectively.

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