A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the
PN?
Slightly raised rash with ragged edges.
Red, hot, and swollen joints.
Heart rate 110 beats/minute.
Pulse oximetry of 88% O2 saturation.
Correct Answer : B,D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Calling the charge nurse might be necessary, but the immediate action after a needlestick injury is to cleanse the affected area to minimize the risk of infection.
B. Observing the appearance of the injection site is important but not the first action following a needlestick injury.
C. Cleaning the finger with soap and water is the initial action to reduce the risk of infection following a needlestick injury.
D. Explaining the occurrence to the client is important but comes after taking care of the nurse's immediate health following a needlestick injury.
Correct Answer is D
Explanation
A. Birth, 2 months, 12 months, and boosters every 7 to 10 years. - This schedule doesn't align with the typical whooping cough vaccination schedule.
B. 1, 6, 9 months, and boosters at 12 months of age and before entering school. - This schedule doesn't match the typical whooping cough vaccination schedule.
C. 1 year of age, 6 years of age, and with each exposure. - This schedule doesn't align with the standard vaccination recommendations for whooping cough.
D. 2, 4, 6 months, and boosters at 15 to 18 months and 4 to 6 years of age. - This schedule aligns with the recommended vaccination schedule for whooping cough by the CDC, providing primary vaccinations at 2, 4, and 6 months and booster doses later in childhood.
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