The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Lack of eye contact when being spoken to

Lack of gesturing to indicate wants after age 15 months

Absence of babbling by age 7 months

Absence of the Moro reflex

Answer and Explanation

The Correct Answer is C

A. Lack of eye contact can indicate a developmental concern, but it is not specific to hearing impairment.

B. Lack of gesturing by 15 months could be concerning, but it is more related to social development than to hearing.

C. By 7 months, infants should begin babbling. The absence of babbling at this age is a red flag for potential hearing issues.

D. The absence of the Moro reflex is expected after the first few months of life, so it is not a sign of hearing impairment.

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Correct Answer is A

Explanation

A. Urticaria (hives) could indicate an allergic reaction or hypersensitivity to the chemotherapy, which needs to be addressed immediately to prevent more severe reactions, such as anaphylaxis.

B. Fatigue is a common side effect of chemotherapy and not usually an immediate concern unless accompanied by signs of more serious complications.

C. Anorexia can occur during chemotherapy but is typically managed with dietary adjustments and does not usually require urgent attention unless it leads to dehydration or significant weight loss.

D. Vomiting is a common side effect of chemotherapy, but it is usually managed with antiemetic medication and is not as immediately concerning as an allergic reaction.

A. Methicillin resistance B. Redness in affected area C. Risk for recurrence D. Possible sepsis

Correct Answer is D

Explanation

A. While methicillin resistance is a concern, it does not pose an immediate threat to the child’s life compared to the risk of sepsis.
B. Redness in the affected area is a typical symptom of cellulitis and, while it should be monitored, it is not the most urgent concern.
C. The risk for recurrence is important for long-term management but is not the primary concern in the acute phase of cellulitis.
D. Sepsis is the most immediate concern in cellulitis because the infection can rapidly spread into the bloodstream, leading to systemic infection and potential life-threatening complications.

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The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following is the priority for the nurse to report to the provider?

Correct Answer is A

Explanation

A nurse is prioritizing potential complications that may occur to a pediatric client who has cellulitis. Which of the following is the primary concern?

Correct Answer is D

Explanation

A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

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A pediatric client in sickle cell crisis comes to the hospital with his mother. When assessing the client, the nurse should expect to find which of the following manifestations?

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

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