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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 A

Explanation

A. Soft, flat fontanels: A soft, flat fontanel indicates that intracranial pressure has decreased and is within normal limits. Elevated pressure often causes bulging or tense fontanels, so this finding suggests effective treatment.

B. Increased sleepiness: Excessive sleepiness or lethargy can indicate worsening or ongoing increased intracranial pressure, so it is not a sign of effective treatment and requires further assessment.

C. Enlarged head circumference: An increasing head circumference in an infant can be a sign of accumulating cerebrospinal fluid or brain swelling, indicating persistent or worsening increased intracranial pressure.

D. Crying when disturbed: While crying is a normal infant behavior, excessive irritability or inconsolable crying may indicate discomfort or increased intracranial pressure rather than improvement. Normal, calm behavior is preferable after treatment.

Correct Answer is C

Explanation

A. "Your child will need to receive sedation to minimize pain during the test.": Sedation is not necessary for a sweat chloride test. The test is noninvasive and painless, involving stimulation of sweat glands using a mild electric current.

B. "It will take approximately 3 hours to complete the test.": The entire sweat chloride test usually takes about 1 hour or less, including preparation and collection time. It is a quick procedure, not lasting multiple hours.

C. "Two separate samples will be collected to ensure accuracy of the test results.": Collecting two samples helps confirm the diagnosis, as elevated sweat chloride levels in both are indicative of cystic fibrosis. Repeat testing improves diagnostic reliability.

D. "Your child should avoid eating and drinking 6 hours prior to the test.": Fasting is not required for a sweat chloride test. The child can eat and drink normally before the procedure, as it does not affect the results.

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