A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first?
A toddler who has nephrotic syndrome and facial edema.
An adolescent who has Crohn's disease and a recent weight loss of 5 kg (11 lb).
A preschool-age child who has a muffled voice and no spontaneous cough.
A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL.
The Correct Answer is C
A preschool-age child who has a muffled voice and no spontaneous cough should be assessed first.
These symptoms may indicate epiglottitis, which is a life-threatening condition that requires immediate medical attention.
Choice A, B and D are also important but not as urgent as choice C. A toddler with nephrotic syndrome and facial edema, an adolescent with Crohn’s disease and recent weight loss, and a school-age child with diabetes mellitus and a blood glucose of 200 mg/dL should be assessed after the preschool-age child with a muffled voice and no spontaneous cough.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Steatorrhea, or fatty stools, is a common symptom of cystic fibrosis.
Cystic fibrosis can cause the pancreas to become blocked with mucus, preventing digestive enzymes from reaching the small intestine.
This can result in difficulty absorbing nutrients from food and can lead to steatorrhea.
Choice A is wrong because rhinorrhea is not a common symptom of cystic fibrosis.
Choice B is wrong because weight gain is not a common symptom of cystic fibrosis; in fact, difficulty gaining weight is a common symptom.
Choice C is wrong because visible peristalsis is not a common symptom of cystic fibrosis.
Correct Answer is A
Explanation
Impetigo is treated with antibiotics, either topical antibiotics (medicine rubbed onto the sores) or oral antibiotics (medicine taken by mouth). A doctor might recommend a topical ointment for only a few sores.
Choice B is wrong because Soak hairbrushes in boiling water for 10 minutes, is not a recommended instruction for the treatment of impetigo.
Choice C is wrong because Administer acyclovir PO two times per day, is not a recommended instruction for the treatment of impetigo as acyclovir is an antiviral medication and impetigo is caused by bacteria.
Choice D is wrong because Seal soft toys in a plastic bag for 14 days, is not a recommended instruction for the treatment of impetigo.
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