The nurse is providing care to a 4-month-old infant in the emergency department. Upon assessment, the infant is noted to be experiencing tachypnea, wheezing, retractions, and nasal flaring. The infant has large amounts of nasal drainage. The infant is irritable, and the pulse ox reading is currently at 85% on room air. The parents state the symptoms have been consistent for about two days, but they brought the child in due to concerns for dehydration with decreased milk intake. Which diagnosis does the nurse anticipate for this infant?

Pneumonia

Active pulmonary tuberculosis

RSV

Croup

Answer and Explanation

The Correct Answer is C

Choice A reason: Pneumonia could present with these symptoms, but it is less likely in this case due to the specific combination of symptoms described.
Choice B reason: Active pulmonary tuberculosis is less common in infants and does not typically present with these acute symptoms.
Choice C reason: This is the correct choice. The symptoms described are characteristic of Respiratory Syncytial Virus (RSV), especially in infants.
Choice D reason: Croup could cause some of these symptoms, but it is more commonly associated with a distinctive barking cough and stridor.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Elevated high-density lipoproteins (HDL) are actually protective against heart disease.
Choice B reason: Increased triglyceride levels are a risk factor for vascular disease and should be addressed.
Choice C reason: Hypothyroidism is not a component of metabolic syndrome but should be managed if present.
Choice D reason: High blood pressure is a component of metabolic syndrome and increases the risk for vascular disease.
Choice E reason: Abdominal obesity is a key component of metabolic syndrome and is associated with increased risk for diabetes and vascular disease.
Choice F reason: Hyperglycemia is a sign of impaired glucose tolerance or diabetes and is a component of metabolic syndrome.

A. Escort the parents out of the room until the child has stabilized. B. Allow one parent to sit on the bed next to the child and hold their hand during the resuscitation. C. Allow them to stay in the room during the resuscitation as long as they are not disturbing the resuscitation efforts. D. Ask the parents to bring additional family from the waiting room to support them in the room during the resuscitation.

Correct Answer is C

Explanation

Choice A reason: Escorting the parents out of the room may increase their anxiety and distress, as they may want to be close to their child during such a critical time.

Choice B reason: Allowing one parent to sit on the bed may interfere with the medical team's efforts and is not typically recommended during active resuscitation.

Choice C reason: Allowing the parents to stay in the room can provide them with some comfort, knowing they are near their child, and may help in the grieving process if the outcome is unfavorable, as long as they do not interfere with the medical procedures.

Choice D reason: Bringing additional family members into the room during resuscitation can create a chaotic environment and may hinder the medical team's ability to work efficiently. It is better to have a controlled number of people in the room.

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Naxlex Comprehensive Predictor Exams

The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)

Correct Answer is ["B","D","E","F"]

Explanation

Which nursing intervention is most appropriate for a school-age child with congenital heart block who codes in the emergency department (ED), while the parents witness the resuscitation scene?

Correct Answer is C

Explanation

What notable sign most likely indicates increased intracranial pressure in an infant?

Which nursing diagnosis takes priority for a 15-year-old child with third-degree burns of the hands, face, and chest?

The nurse in a school clinic is caring for a 7-year-old girl who comes in for epistaxis. The nurse will initiate which of the following interventions? (Select the 2 responses that apply)

A 3-year-old admitted to the hospital with croup has the following vital signs: heart rate 90, respiratory rate 48, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:

In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

A 6-year-old child has been sent to the school nurse for wetting her pants three times in the past 2 days. The nurse should recommend that this child be evaluated for which complication first?

Which condition should the nurse suspect in a 6-year-old patient in external traction for a femur fracture who has pain and edema of the thigh and is febrile?