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. Clear drainage from the ear is more indicative of a ruptured tympanic membrane or an external ear infection (otitis externa) rather than otitis media.

B. Pain when manipulating the earlobe is associated with otitis externa, not otitis media.

C. Erythema and edema of the outer ear may occur with otitis externa but are not common in otitis media, which affects the middle ear.

D. Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.

A. Inspection B. Auscultation C. Superficial palpation D. Deep palpation

Correct Answer is A,B,C,D

Explanation

A. Inspection: The nurse begins with a visual examination of the abdomen, looking for any abnormalities in skin color, shape, or movement.

B. Auscultation: Next, the nurse listens to the bowel sounds using a stethoscope. This step is performed before palpation to avoid altering the bowel sounds.

C. Superficial palpation: The nurse gently presses the surface of the abdomen to assess for any tenderness, distension, or masses.

D. Deep palpation: Finally, the nurse applies deeper pressure to feel for any deeper structures or masses within the abdomen.

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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 caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

Correct Answer is D

Explanation

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.)

Correct Answer is A,B,C,D

Explanation

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

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