The nurse receives shift report on four patients. Which patient will the nurse prioritize?
A 5-year-old child admitted with asthma exacerbation who used a rescue inhaler 16 hours ago.
A 3-year-old toddler who swallowed several sunflower seeds and continues to cough with an oxygen saturation of 91%.
A 15-year-old adolescent who had a laparoscopic appendectomy 10 hours ago, rates their pain a 3/10, and is preparing for discharge this morning.
An 18-month-old admitted for dehydration 2 days ago who has had six wet diapers in the last 24 hours and ate 70% of their meals.
The Correct Answer is B
Choice A reason: While a child with asthma exacerbation needs monitoring, they used their rescue inhaler 16 hours ago and are currently stable. This patient is not the highest priority.
Choice B reason: A 3-year-old who continues to cough with an oxygen saturation of 91% is at risk of respiratory distress or obstruction due to the swallowed sunflower seeds. The low oxygen saturation indicates impaired gas exchange and requires immediate attention.
Choice C reason: A 15-year-old recovering from a laparoscopic appendectomy who is stable and preparing for discharge can wait to be seen after more urgent cases.
Choice D reason: An 18-month-old admitted for dehydration who is producing a normal number of wet diapers and eating well indicates improved hydration status and can be seen after addressing the more critical situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Human papillomavirus (HPV) is a separate infection that is not a direct complication of untreated chlamydia. While both are sexually transmitted infections, they have different causative agents and manifestations.
Choice B reason: Pelvic inflammatory disease (PID) is a serious complication that can arise from untreated chlamydia. PID can lead to severe reproductive health issues, including chronic pelvic pain, ectopic pregnancy, and infertility. Monitoring and treating chlamydia is crucial to prevent the development of PID.
Choice C reason: Cardiac arrhythmias are not a known complication of chlamydia. This condition pertains to abnormal heart rhythms, which are unrelated to the infection caused by chlamydia.
Choice D reason: Extreme weight loss is not directly associated with chlamydia infection. While untreated chlamydia can have significant health impacts, extreme weight loss is not a typical complication of this disease.
Correct Answer is ["1"]
Explanation
The APGAR score assesses five criteria: Appearance (skin colour), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), and Respiration (breathing effort). Each criterion is scored from 0 to 2, with a maximum total score of 10.
- Appearance: The infant is pale, which scores 0.
- Pulse: The heart rate is 99 beats per minute, which scores 1 (as it is below 100).
- Grimace: No response to stimulus, which scores 0.
- Activity: The infant is limp, which scores 0.
- Respiration: No spontaneous respirations, which scores 0.
Summing these scores gives a total APGAR score of 1.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.