A nurse is caring for a school-age child who was involved in a motor- vehicle crash.
Complete the following sentence by using the list of options.
The child is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Pulmonary embolism: The child shows a slight decline in oxygen saturation (from 95% to 93%) and labored breathing, both of which can indicate early signs of respiratory complications.
Oxygen saturation levels: Decreased oxygen saturation is a concerning sign that points toward respiratory issues, which can include pulmonary embolism, especially in a post-trauma patient with limited mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Acute kidney injury: Clients with significant burns are at risk for acute kidney injury due to fluid shifts, decreased blood pressure, and potential inadequate perfusion to the kidneys.
Urine output: Maintaining adequate urine output (30 mL/hr) is a critical marker for renal perfusion. The need for strict monitoring suggests that decreased urine output could indicate kidney function compromise.
Correct Answer is A
Explanation
A. Respiratory status is the priority due to the risk of aspiration, chemical pneumonia, or airway swelling, which can be life-threatening.
B. Bowel sounds are relevant but are secondary to airway and respiratory assessment.
C. Burns of the mouth may be present but do not take priority over respiratory assessment.
D. Visual acuity is not an immediate concern in detergent ingestion cases.
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