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 B
Explanation
a) Janeway spots: Janeway lesions are painless, small, erythematous or hemorrhagic macules found on the palms or soles, characteristic of infective endocarditis, not typically associated with rheumatic fever.
b) Polyarthritis 5 + joints: Polyarthritis involving multiple joints, often migrating, is a major manifestation of acute rheumatic fever.
c) Vomiting: While nausea and vomiting can occur, they are not specific to rheumatic fever.
d) Oster nodes: Osler nodes are tender nodules found in infective endocarditis, not typically seen in rheumatic fever.
Correct Answer is D
Explanation
a) Cherry jello: Red or colored foods may be mistaken for bleeding post-tonsillectomy, so they are typically avoided initially.
b) Lemonade: Citrus or acidic beverages may irritate the throat post-surgery.
c) Mandarin oranges: Similarly, acidic fruits can cause irritation to the healing throat.
d) Applesauce: It's a smooth and non-irritating option that's commonly recommended post-tonsillectomy as it's gentle on the throat and easy to swallow.
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