The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis

A term 2-week-old infant of American Indian descent with an upper respiratory infection

A post-term 4-week-old infant, Black descent, with moderate emesis after feeding

A 1-week-old infant born at 40 weeks’ gestation with symptoms of cough

Answer and Explanation

The Correct Answer is A

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

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Correct Answer is B

Explanation

a) Attending late-night parties and dances might not be directly related to SLE unless it interferes with sleep and rest, which are important for managing the condition.

b) Sun exposure can trigger lupus flares, so activities involving prolonged sun exposure should be avoided or practiced with precautions like sunscreen and protective clothing.

c) Manicures and pedicures typically do not exacerbate SLE unless they involve harsh chemicals that might trigger skin reactions.

d) Daily hair shampoos, unless they contain harsh chemicals or irritants, may not directly exacerbate SLE symptoms.

A. The infant has blood in urine B. The infant has received two doses of morphine per PRN orders C. The infant has voided one time since returning from surgery D. Double diapering the infant has resulted in the stent being free from stool contamination

Correct Answer is A

Explanation

a) Blood in the urine after hypospadias repair could indicate postoperative bleeding, and it's a significant finding that should be reported promptly to the surgeon.

b) Administration of morphine according to PRN orders is a common postoperative pain management strategy and might not require immediate reporting unless there are concerns about the dosage or the child's response.

c) Voiding once after surgery is expected and not necessarily concerning unless there are additional issues or complications.

d) Ensuring the stent is free from stool contamination is important for postoperative care but doesn't require immediate reporting to the surgeon unless there are signs of infection or other complications.

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The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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