A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Rhinitis

Hemoptysis

High fever

Constipation

Answer and Explanation

The Correct Answer is C

A.   Rhinitis, or nasal inflammation, can occur in various respiratory infections but is not a primary symptom of bacterial pneumonia. While some children with pneumonia may have nasal congestion or a runny nose, it is not a defining characteristic of pneumonia.
B.   Hemoptysis, or coughing up blood, is not a common symptom of bacterial pneumonia, especially in children. While it can occur in severe cases or specific types of pneumonia, it is not typically expected during the initial assessment of bacterial pneumonia in pediatric patients.
C.   A high fever is a common and expected symptom in children with bacterial pneumonia. The body’s response to the infection often includes elevated temperatures, and fever is one of the key signs that healthcare providers look for when diagnosing pneumonia.
D.   Constipation is not a symptom associated with bacterial pneumonia. While general illness can affect bowel habits, constipation is not typically seen in patients with pneumonia. The focus of the assessment would be on respiratory symptoms rather than gastrointestinal issues.

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Correct Answer is C

Explanation

A. This statement describes glaucoma, not macular degeneration. Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and vision loss. It does not specifically pertain to damage of the macula or central vision.
B. This statement refers to conditions like astigmatism, where the cornea has an irregular shape, leading to blurred vision. It is not relevant to macular degeneration, which involves damage to the retina rather than the curvature of the cornea.
C. This statement accurately describes macular degeneration. The macula is the part of the retina responsible for sharp central vision, which is crucial for tasks like reading and recognizing faces. In macular degeneration, this area deteriorates, leading to loss of central vision.
D. This statement describes cataracts, where the lens of the eye becomes cloudy, leading to blurred vision. Cataracts and macular degeneration are distinct conditions, with different causes and impacts on vision.

A. Encourage the child to ambulate. B. Wat 30 minutes and confirm blood glucose reading C. Give the child a tablespoon of honey or a snack. D. Administer regular insulin. E. Prepare to administer glucagon subcutaneously if unconsciousness occurs.

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

Explanation

A. Encouraging a child with hypoglycemia to ambulate can be dangerous. Physical activity can further lower blood sugar levels, which could exacerbate the situation. It’s better to keep the child stable and provide treatment for the low blood sugar.
B. Waiting to confirm the blood glucose reading is not appropriate in this case. A blood glucose level of 50 mg/dL requires immediate intervention, not a delay. The priority is to treat the hypoglycemia right away.
C. Providing a fast-acting carbohydrate, like a tablespoon of honey, is an appropriate intervention for treating hypoglycemia. Other options could include glucose tablets or juice. The key is to quickly raise the blood sugar level.
D. Administering insulin when blood glucose levels are low is contraindicated. Insulin would further decrease the blood sugar level, worsening the hypoglycemic state. The priority is to treat the low blood sugar, not to give insulin.
E. If the child becomes unconscious due to hypoglycemia and is unable to swallow, glucagon should be prepared for administration. Glucagon can help raise blood sugar levels in emergency situations.

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A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

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Naxlex Comprehensive Predictor Exams

A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?

Correct Answer is C

Explanation

The nurse should implement which interventions for a child with type 1 diabetes who has a blood glucose level of 50 mg/dL? (Select All that Apply)

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

Explanation

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