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) Decrease the amount of potassium in the diet: Steroids can increase potassium loss, so restricting potassium intake is unnecessary and could potentially exacerbate hypokalemia.

b) Administer non-live virus vaccine: Generally acceptable as live-virus vaccines are contraindicated in individuals receiving high-dose steroids due to the risk of developing infections.

c) Limit activity and receive home schooling: While rest might be needed in some situations, home schooling might not always be necessary.

d) Monitor for seizure activity: While monitoring for adverse effects is important, it is not specifically related to the use of high-dose steroids.

A. The nonbiological father from the heterosexual father cohabitating with the family B. the divorced father from the binuclear family C. the stepfather from the blended family D. the divorced father when the single parent mother has custody

Correct Answer is B

Explanation

a) The nonbiological father from the heterosexual father cohabitating with the family: While he may have a close relationship, legal consent might not be automatically granted without legal documentation or permission.

b) The divorced father from the binuclear family: the divorced father from a binuclear family can consent to treatment since he is a biologic parent to the baby.

c) The stepfather from the blended family: Emergency medical consent might require legal documentation or guardianship unless specifically granted through legal means.

d) The divorced father when the single parent mother has custody: Unless specified in custody documents, emergency medical consent might still require the custodial parent's approval or both parents' consent.

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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?

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Naxlex Comprehensive Predictor Exams

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