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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.
b) Absent bowel sounds: Can occur but are not specific to intussusception.
c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.
d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.
Correct Answer is B
Explanation
a) Constant parental supervision is needed to avoid overexertion: While supervision is important, restricting all activities might limit the child's development.
b) The child needs opportunities to play with others: Encouraging social interaction and play with peers is crucial for the child's social and emotional development.
c) The parents can have the child make video calls with friends instead of playdates: Video calls can supplement but should not entirely replace physical play and interaction.
d) The child needs to understand that peers’ activities are too strenuous: This response might unnecessarily limit the child's participation in normal activities without considering their abilities and limitations.
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