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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.
B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.
C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.
D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.
Correct Answer is ["93"]
Explanation
To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:
- Identify the maximum dose per kilogram: 3 mg/kg/day.
- Multiply the child's weight by this maximum dose:
MaximumDose(mg/day) =31kg×3mg/kg/day= 93mg
So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).
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