A nurse is caring for a 15-year-old adolescent.
The nurse reviews the EMR and determines that the adolescent is at risk for developing which of the following complications?
The adolescent is at risk for developing ___ and ___
muscle cramps
pneumothorax
dehydration
anemia
Correct Answer : B,C
The adolescent is at risk for developing Target 1: dehydration and Target 2: pneumothorax.
Rationale:
- Dehydration: The adolescent's fever, increased respiratory rate, and decreased oral intake put them at risk for dehydration.
- Pneumothorax: In severe pneumonia, there is a risk of lung collapse or pneumothorax, especially in adolescents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A child whose parents consistently answer questions on their behalf may indicate a lack of autonomy and could be a sign of potential abuse or neglect, as it may suggest the parents are controlling or overly involved.
B. A child who has frequent visitors does not inherently suggest abuse; in fact, it could indicate support and care from family or friends.
C. Frequent use of the call light could indicate a child's need for assistance or comfort but does not directly correlate with abuse.
D. A child with a BMI indicating obesity is not a definitive indicator of abuse; it may relate to dietary habits or lifestyle factors rather than abuse.
Correct Answer is ["B","C"]
Explanation
The adolescent is at risk for developing Target 1: dehydration and Target 2: pneumothorax.
Rationale:
- Dehydration: The adolescent's fever, increased respiratory rate, and decreased oral intake put them at risk for dehydration.
- Pneumothorax: In severe pneumonia, there is a risk of lung collapse or pneumothorax, especially in adolescents.
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