Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

You should always have an antihistamine like Benadryl with you at all times

If it happens again I will teach you what to do

I will teach how to use an epi-pen

You can start a desensitization process to take the allergy away

Answer and Explanation

The Correct Answer is C

a) Having antihistamines like Benadryl is beneficial, but in severe allergic reactions (anaphylaxis), an epinephrine auto-injector (epi-pen) is the first-line treatment and can be life-saving.

b) Waiting for the next occurrence without preparation is risky. Immediate action is crucial in severe allergic reactions.

c) Teaching how to use an epi-pen is crucial for managing severe allergic reactions. It provides rapid relief by counteracting anaphylaxis until emergency help arrives.

d) Desensitization processes are not immediate solutions and are typically conducted under medical supervision.

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Correct Answer is A

Explanation

a) A high hemoglobin: Tricuspid atresia typically leads to decreased pulmonary blood flow, causing cyanosis and chronic hypoxemia, which can result in increased hemoglobin levels as the body compensates for low oxygen.

b) A prolonged PTT: While not typically associated with tricuspid atresia specifically.

c) A low hematocrit: Hematocrit levels might be normal or elevated due to chronic hypoxemia.

d) A low platelet count: Platelet count might not be directly affected by tricuspid atresia.

A. Constipation B. Meconium ileus C. Rectal prolapse D. Steatorrhea stools

Correct Answer is B

Explanation

a) Constipation: Not typically a primary symptom of cystic fibrosis.

b) Meconium ileus: Meconium ileus is a bowel obstruction that occurs shortly after birth due to abnormally thick meconium. It is a classic early sign of cystic fibrosis in newborns. Other symptoms such as failure to thrive, persistent cough, salty-tasting skin, and recurrent respiratory infections may also manifest later.

c) Rectal prolapse: Can be related to cystic fibrosis but is not as specific as other symptoms.

d) Steatorrhea stools: Frequent fatty stools are symptoms of the disease but not specific to cystic fibrosis.

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Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has admitted a child with tricuspid atresia. The nurse would expect which initial lab result?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

Expected symptoms in an infant with pyloric stenosis:

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