A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?
Maculopapular rash
Headache
Wheezing
Increased pulse
The Correct Answer is C
Choice A reason:
A maculopapular rash may be an allergic reaction to the antibiotic. While this should be reported, wheezing is a more urgent concern.
Choice B reason:
A headache may be a side effect of the antibiotic, but it is not as urgent as wheezing.
Choice C reason:
Wheezing can indicate a potential serious allergic reaction or anaphylaxis to the antibiotic. This is the priority finding to report to the provider.
Choice D reason:
An increased pulse may be a side effect of the antibiotic, but it is not as urgent as wheezing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice B reason:
Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice C reason:
Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice D reason:
Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue
ischemia and pain.
Correct Answer is B
Explanation
- Choice A Rationale: Preschoolers may personify death as a character or monster due to their developmental stage and exposure to media, but this is not a universal belief and may not be helpful in a teaching context.
- Choice B Rationale: Preschoolers often conceptualize death as a reversible or temporary condition, similar to sleep, due to their limited understanding of the permanence of death, making this an appropriate statement for the nurse to include.
- Choice C Rationale: While preschoolers may express curiosity about death, their understanding is concrete and they may not grasp abstract concepts about what happens after death, thus this statement might not be entirely accurate for all preschoolers.
- Choice D Rationale: Preschoolers may have fears related to death, but these are more often related to separation from parents or changes in routine rather than physical changes during dying, which they may not fully comprehend.
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