A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?

Malaise

Tinnitus

Rhinorrhea

Drooling

Answer and Explanation

The Correct Answer is A

A.   Correct. Malaise, which is a general feeling of discomfort or unease, is a common manifestation of bacterial pneumonia in children.
B.   Tinnitus (ringing in the ears) is not a common manifestation of bacterial pneumonia.
C.   Rhinorrhea (runny nose) is not typically associated with bacterial pneumonia; it is more commonly seen in viral respiratory infections.
D.   Drooling is not a common manifestation of bacterial pneumonia.

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Correct Answer is B

Explanation

A. Incorrect. Initiating seclusion protocol should only be done in situations where the safety of the client or others is at risk and after appropriate assessment and intervention.

B. Correct. Acknowledging the client's emotions and showing empathy can help defuse the situation and promote effective communication.

C. Incorrect. Using personal protective equipment (face shield with mask) is not necessary when interacting with an agitated client unless there is a specific infection control concern.

D. Incorrect. Engaging the panic alarm is not necessary in this situation, as it may escalate the client's agitation.

A. Bulging fontanels B. Hypertonicity C. Bradycardia D. Acrocyanosis

Correct Answer is B

Explanation

A. Incorrect. Bulging fontanels are not typically associated with withdrawal from maternal methadone use. They might indicate increased intracranial pressure or other conditions.
B. Correct. Hypertonicity, or increased muscle tone, is a common sign of neonatal withdrawal from opioids such as methadone. It can manifest as increased resistance to passive movement.
C. Incorrect. Bradycardia is not a common withdrawal symptom from maternal methadone use. Neonates withdrawing from opioids might experience tachycardia, not bradycardia.
D. Incorrect. Acrocyanosis, a bluish discoloration of the extremities, is a common finding in newborns and is not specific to withdrawal from methadone. It can be related to immature peripheral circulation.

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A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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