In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?

The 1-month-old infant who has developed colic and is crying.

The 14-year-old adolescent whose mother suspects her child is sexually active.

The 2-year-old toddler who was bitten by another child at the day-care center.

The 6-year-old school-aged child who was hit by a car while riding a bicycle.

Answer and Explanation

The Correct Answer is D

Choice A reason: While colic can be distressing, it is not life-threatening and does not require immediate assessment over more critical conditions.
Choice B reason: Suspicions of sexual activity in an adolescent are a concern but do not constitute an emergency that requires immediate assessment.
Choice C reason: A bite from another child, although potentially serious, is less urgent than a trauma case and can be assessed after more critical patients.
Choice D reason: This is the correct choice. A child hit by a car may have life-threatening injuries and requires immediate assessment and intervention.

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Correct Answer is C

Explanation

Choice A reason: LTB, also known as croup, is not primarily caused by Haemophilus influenzae type B.

Choice B reason: Bronchiolitis is typically caused by viruses such as RSV, not Haemophilus influenzae type B.

Choice C reason: This is the correct choice. The Hib vaccine is effective in preventing epiglottitis, which can be caused by Haemophilus influenzae type B.

Choice D reason: While Hib can cause pneumonia, the vaccine is specifically known for its role in preventing invasive diseases like epiglottitis.

A. Keep suction equipment at bedside. B. Position the child upright for feedings. C. Feed slowly using specialized feeding bottles. D. Explain to the mother that breastfeeding will not be possible until after the repair.

Correct Answer is D

Explanation

Choice A reason: Keeping suction equipment at bedside is important to maintain airway patency and prevent aspiration.
Choice B reason: Positioning the child upright for feedings can help prevent aspiration and is a recommended practice.
Choice C reason: Feeding slowly using specialized feeding bottles can help the infant feed effectively and safely.
Choice D reason: This is the correct choice. Breastfeeding is often possible with the use of special techniques and should not be discouraged unless specifically contraindicated.

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In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Immunization of children with Haemophilus influenzae type B (Hib) vaccine decreases the incidence of which of the following conditions?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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