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A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?

Measure weight and height.

Insert an indwelling urinary catheter.

Initiate IV access.

Maintain ECG monitoring.

Answer and Explanation

The Correct Answer is C

A. Measuring weight and height is not an immediate priority in the management of shock.

B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.

C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.

D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.

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Correct Answer is D

Explanation

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

A. A sibling who had a sore throat 3 weeks ago B. A classmate who has fifth disease C. The father who had gastritis 2 weeks ago D. A neighbor's child who has chickenpox

Correct Answer is A

Explanation

A. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.

B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.

C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.

D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.

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A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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