Which child requires urgent emergency medical intervention?

A 6-month-old who has a high fever, dysphagia, stridor, and a muffled cry.

A 13-year-old who has a high fever, stridor, and purulent secretions.

A 2-year-old who has a barky cough, is afebrile, and has mild intercostal retractions.

A 5-year-old who has an abrupt onset of moderate respiratory distress, a mild fever, and a barky cough.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A 6-month-old who has a high fever, dysphagia, stridor, and a muffled cry. This child is showing signs of epiglottitis, a severe and life-threatening condition that requires immediate medical attention. Epiglottitis is characterized by inflammation and swelling of the epiglottis, the flap at the base of the tongue that keeps food from going into the windpipe. Symptoms include high fever, difficulty swallowing (dysphagia), stridor (a high-pitched wheezing sound caused by disrupted airflow), and a muffled or hoarse voice. In severe cases, it can lead to complete blockage of the airway, which is a medical emergency.

Choice B rationale

A 13-year-old who has a high fever, stridor, and purulent secretions. While these symptoms are concerning and require medical attention, they are not as immediately life-threatening as the symptoms presented in Choice A. The presence of purulent secretions suggests a bacterial infection, which while serious, can typically be treated with antibiotics.

Choice C rationale

A 2-year-old who has a barky cough, is afebrile, and has mild intercostal retractions. These symptoms suggest croup, a common childhood condition that causes a barky cough and mild breathing difficulties. While croup can be distressing, it is usually not life-threatening and can often be managed at home with supportive care.

Choice D rationale

A 5-year-old who has an abrupt onset of moderate respiratory distress, a mild fever, and a barky cough. These symptoms also suggest croup. While this child is experiencing moderate respiratory distress, which requires medical attention, it is not as immediately life-threatening as the symptoms presented in Choice A2.

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Correct Answer is A

Explanation

Choice A rationale

By 9 months, most babies have developed the fine motor skills necessary to pick up small objects, like crackers, with their thumb and forefinger. This is known as the pincer grasp. If a 9- month-old child is unable to do this, it could be a sign of a developmental delay.

Choice B rationale

It’s normal for babies at this age to have a short attention span. They often play with a toy for only a few minutes before moving on to something else. Therefore, this behavior is not typically a cause for concern.

Choice C rationale

The ability to crawl on all fours supported on hands and knees is a typical developmental milestone for a 9-month-old child. Therefore, this behavior is expected and does not indicate a developmental delay.

Choice D rationale

While some 9-month-old babies may be able to pull themselves to a standing position, not all babies develop this skill at the same time. Therefore, the inability to do this is not necessarily a cause for concern.

A. Adding a school breakfast program. B. Reducing saturated fat in the school lunch offering. C. Calorically sweetened beverages. D. Making fruits or vegetables available with all meals. E. Offering after school physical fitness activities.

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

Explanation

Choice A rationale

Adding a school breakfast program is a crucial step in promoting health and wellness in schools. It ensures that all students, regardless of their socioeconomic status, start their day with a nutritious meal. This can improve their concentration, cognitive function, and academic performance.

Choice B rationale

Reducing saturated fat in the school lunch offering is another important measure. High intake of saturated fats is associated with increased risk of heart disease and obesity. By offering meals low in saturated fats, schools can help instill healthy eating habits in students.

Choice C rationale

Calorically sweetened beverages are not recommended for inclusion in school health and wellness programs. These beverages are high in sugar and can contribute to obesity, tooth decay, and other health problems.

Choice D rationale

Making fruits or vegetables available with all meals is a key part of a balanced diet. They provide essential vitamins, minerals, and dietary fiber, and their consumption can help prevent chronic diseases.

Choice E rationale

Offering after-school physical fitness activities can help students meet the recommended levels of physical activity, improve their physical fitness, and reduce the risk of obesity. These activities also provide opportunities for social interaction and skill development.

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Which child requires urgent emergency medical intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 9-month-old child.The nurse assesses the baby and finds all of the following data.Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?

Correct Answer is A

Explanation

The school-based nurse is working with the local school district to promote health and wellness in a school with a large proportion of minority and underprivileged students.Which of the following will be included in the planning? Select all that apply.

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

Explanation

Which child requires urgent care?

In the Emergency Department, four children are awaiting treatment for respiratory illnesses.Given that only one treatment room is available, which child should be prioritized based on the assessment findings?

The nurse is conducting physical assessments for a group of children at a local wellness clinic. Which child requires further evaluation?

The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.Which of the following statements by the parents indicates understanding of the discharge instructions?

The nurse is caring for an infant who has a history of bronchopneumonia.What should the nurse anticipate when monitoring laboratory results? Which of the following venous blood gas results should the nurse expect?