The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Obtain culture specimens.

Administer an antipyretic.

Prepare for intubation.

Insert an IV catheter.

Answer and Explanation

The Correct Answer is C

A. While obtaining culture specimens is important, the priority in this case is managing the child’s airway, as drooling and difficulty swallowing suggest potential airway obstruction.

B. Administering an antipyretic is not the priority; airway management is more urgent in this situation.

C. The priority is to prepare for intubation, as the child’s symptoms suggest possible epiglottitis, which can cause rapid airway obstruction. Securing the airway is critical.

D. Inserting an IV catheter is important for hydration and medication administration, but airway management is the immediate priority.

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Correct Answer is A

Explanation

A. A normal urinary output in infants is approximately 1-2 mL/kg/hr. An output of 2 mL/kg/hr would indicate that the fluid imbalance is being corrected.

B. An output of 7.5 mL/kg/hr is excessive and may indicate overhydration or other complications.

C. An output of 0.5 mL/kg/hr is too low and suggests that the fluid imbalance is not yet corrected.

D. An output of 15 mL/kg/hr is too high and could indicate a possible issue such as overhydration.

A. Duchenne muscular dystrophy usually improves as the child gets older. B. Speech and vision may be impaired and inhibit communication. C. Cognitive impairment can improve with intensive therapy. D. Mobility concerns usually arise later in adulthood.

Correct Answer is B

Explanation

A. Duchenne muscular dystrophy is a progressive condition that worsens over time, leading to increasing disability.

B. Children with DMD may experience speech and vision impairments as part of the disease process, which could affect communication.

C. Cognitive impairment is often a feature of DMD, but it does not typically improve with therapy. It is a progressive issue.

D. Mobility concerns in DMD begin in childhood, not adulthood, as the muscles weaken and deterioration progresses.

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The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

Correct Answer is A

Explanation

A nurse is creating a plan of care for a pediatric client who has been diagnosed with Duchenne muscular dystrophy (DMD). Which of the following factors should the nurse consider when planning care?

Correct Answer is B

Explanation

A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

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