While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?

Obtain a blood culture.

Stop the transfusion.

Slow the transfusion rate.

Provide a diuretic as prescribed.

Answer and Explanation

The Correct Answer is B

A. Obtaining a blood culture is important but is not the immediate priority when a transfusion reaction is occurring.

B. Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.

C. Slowing the transfusion rate might not be sufficient if a reaction is occurring; stopping it is crucial.

D. Providing a diuretic is not relevant to the management of an acute transfusion reaction.

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Correct Answer is D

Explanation

A. Temper tantrums are not classified as a learning disability; they are a normal part of toddler development.

B. A psychological consult is not necessary unless tantrums are severe or persistent and interfere significantly with the child's functioning or development.

C. Leaving the room during a tantrum may not be advisable; it is better to stay calm and ensure the child's safety while they express their frustration.

D. Temper tantrums are a normal developmental phase where toddlers express frustration and attempt to gain control of their environment. Understanding this helps parents manage tantrums effectively and respond appropriately.

A. "If I don't control my asthma I will miss fewer days of school." B. "Coughing and shortness of breath in the morning can be a sign that my asthma is well controlled." C. "Eliminating allergens that irritate my lungs can help me avoid getting an asthma attack" D. "Even if I control asthma well, I won't be able to participate in sports or physical activities."

Correct Answer is C

Explanation

A. This statement is incorrect; effective asthma management should help the child attend school regularly rather than miss fewer days.

B. Coughing and shortness of breath in the morning usually indicate poor asthma control, not good control.

C. Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.

D. Proper asthma management should allow participation in physical activities, not exclude the child from them.

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While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following manifestations should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

Correct Answer is C

Explanation

A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

A nurse is caring for an infant whose guardian reports intermittent vomiting for several days. Findings upon admission: Exhibits Which of the following actions should the nurse take? (Select all that apply)

A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?