A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.).
Increased appetite.
Crying.
Restlessness.
Fever.
Enlarged subclavicular lymph node.
Correct Answer : B,C,D
An infant with acute otitis media may exhibit crying, restlessness and fever.
Choice A is wrong because an infant with acute otitis media may have a decreased appetite.
Choice E is not the best answer because an enlarged subclavicular lymph node is not a common finding in acute otitis media.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Gentamicin is an aminoglycoside antibiotic that can cause nephrotoxicity. Nephrotoxicity refers to kidney damage and can be demonstrated by rising serum creatinine levels. A creatinine level of 1.4 mg/dL is higher than the normal range and may indicate impaired kidney function 2.
Choice B is wrong because Creatinine 0.3 mg/dL is not an answer because it falls within the normal range for creatinine levels.
Choice C is wrong because BUN 12 mg/dL is not an answer because it falls within the normal range for BUN levels.
Choice D is wrong because BUN 6 mg/dL is not an answer because it falls within the normal range for BUN levels.
Correct Answer is A
Explanation
The first action the nurse should take is to assess the respiratory status of the infant.
After a head injury, it is important to ensure that the child’s airway is clear and that they are breathing adequately.
This is a crucial step in providing care for a patient with a head injury.
Choice B is wrong because inspecting for fluid leaking from the ears is not the first priority.
Choice C is wrong because examining the scalp for lacerations is not the first priority.
Choice D is wrong because checking pupil reactions is not the first priority.
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