When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is:.

Infection or inflammation close to the site.

Some form of cancer.

Local scalp infection common in children.

Infection or inflammation distal to the site.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Infection or inflammation close to the site.

Choice A rationale:

Tender, enlarged, and warm lymph nodes are indicative of infection or inflammation in the nearby area. Lymph nodes are part of the immune system and can become enlarged and tender when fighting off infections in their drainage area.

Choice B rationale:

While cancer can cause lymph node enlargement, it is less likely in children, and the question doesn't provide any other context to suggest cancer as the primary explanation.

Choice C rationale:

Local scalp infection might cause enlargement of the lymph nodes in the neck, but it would not be the best explanation for tender, enlarged, and warm cervical lymph nodes. Infections or inflammation close to the site of lymph node involvement are more likely.

Choice D rationale:

Infection or inflammation distal to the site wouldn't directly explain the tenderness, warmth, and enlargement of the cervical lymph nodes. Lymph nodes generally react to infections or inflammation in their drainage area.

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Free Nursing Study Resources

Correct Answer is ["2.6"]

Explanation

Step 1: Calculate the total mg per dose. 325 mg × 2 tablets = 650 mg

Step 2: Calculate the number of doses in 24 hours. 24 hours ÷ 6 hours = 4 doses

Step 3: Calculate the total mg in 24 hours. 650 mg × 4 doses = 2600 mg

Step 4: Convert mg to grams. 2600 mg ÷ 1000 = 2.6

Answer: 2.6

A. Institute cluster care to encourage adequate rest. B. Administer cough syrup. C. Administer antibiotics. D. Encourage infant to drink 8 ounces of formula every 4 hours. E. Place on noninvasive oxygen monitoring.

Correct Answer is ["A","E"]

Explanation

The correct answers are choices A and E: Institute cluster care to encourage adequate rest and Place on noninvasive oxygen monitoring.

Choice A rationale:

Institute cluster care to encourage adequate rest. This is a correct choice. Cluster care involves grouping nursing interventions together to minimize disruptions to the child's rest. Adequate rest is crucial for the healing process in infants with respiratory syncytial virus (RSV) bronchiolitis.

Choice B rationale:

Administer cough syrup. This choice is incorrect for RSV bronchiolitis. Cough syrup is not recommended for infants with bronchiolitis. RSV primarily affects the lower respiratory tract and can cause airway inflammation, making cough syrup potentially ineffective and unnecessary.

Choice C rationale:

Administer antibiotics. This choice is incorrect for RSV bronchiolitis. RSV is a viral infection, and antibiotics are ineffective against viruses. Antibiotics should only be used when there is a bacterial infection or a clear indication.

Choice D rationale:

Encourage infant to drink 8 ounces of formula every 4 hours. This choice is not the best approach for managing RSV bronchiolitis. Infants with RSV may experience decreased appetite due to respiratory distress. Smaller, more frequent feedings are often recommended to prevent overfeeding and aspiration.

Choice E rationale:

Place on noninvasive oxygen monitoring. This is a correct choice. RSV bronchiolitis can cause respiratory distress and compromise oxygenation. Noninvasive oxygen monitoring helps assess the child's oxygen levels and aids in determining the need for supplemental oxygen therapy.

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When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is taking acetaminophen (Tylenol) 325 mg, 2 tablets PO every 6 hours. How many grams is the patient receiving in 24 hours? (Number Only, do not type in gram or g with your answer)

Correct Answer is ["2.6"]

Explanation

The nurse is caring for a 10-month-old infant diagnosed with respiratory syncytial virus (RSV) bronchiolitis. Which interventions should be included in the child's care? (Select all that apply.).

Correct Answer is ["A","E"]

Explanation

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