Which of these assessments is the priority for a 14-year-old client diagnosed with ulcerative colitis?

Blood pressure of 110/68 mmHg.

Hemoglobin level of 8 g/dL.

Weight loss of 3 pounds over the past month.

Serum sodium level of 135 mEq/L.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A blood pressure of 110/68 mmHg is within the normal range for a 14-year-old and does not directly relate to the management of ulcerative colitis.

Choice B rationale:

Ulcerative colitis can lead to chronic inflammation and blood loss in the gastrointestinal tract, resulting in anemia. Monitoring the hemoglobin level is crucial to assess the severity of anemia and the need for interventions.

Choice C rationale:

While weight loss is a concern, hemoglobin level provides more direct information about the impact of ulcerative colitis on the client's health.

Choice D rationale:

Serum sodium level of 135 mEq/L is within the normal range and does not take precedence over addressing potential anemia and its impact on the client's well-being.

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Correct Answer is ["C","D"]

Explanation

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

A. BUN 14 mg/dL. B. Serum Creatinine 0.4 mg/dL. C. Urine output 76 mL/24 hours. D. Hbg 12 g/dL.

Correct Answer is C

Explanation

Urine output 76 mL/24 hours.

Choice A rationale:

BUN (Blood Urea Nitrogen) of 14 mg/dL falls within the normal range (7-20 mg/dL) and is not an immediate concern.

Choice B rationale:

Serum Creatinine of 0.4 mg/dL is also within the normal range (0.2-0.5 mg/dL) and does not warrant immediate action.

Choice C rationale:

Urine output of 76 mL/24 hours is significantly decreased from the expected normal range (1-2 mL/kg/hour), indicating potential kidney dysfunction or dehydration. This requires immediate action to assess the child's hydration status and kidney function.

Choice D rationale:

Hb (Hemoglobin) of 12 g/dL is within the normal range for a 5-year-old child (11.5-15.5 g/dL) and does not necessitate urgent intervention.

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Which of these assessments is the priority for a 14-year-old client diagnosed with ulcerative colitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

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Correct Answer is C

Explanation

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