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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason:

Placing a urine collection device on the infant is not an appropriate method for collecting a stool specimen.

Choice B reason:

Obtaining the specimen by swabbing the infant's rectum using a sterile culture swab is the correct method for collecting a stool specimen from an infant.

Choice C reason:

Maintaining the specimen at room temperature is appropriate after collection until it is transferred to the lab. This is standard procedure for many specimens.

Choice D reason:

Using povidone-iodine-soaked gauze is not a standard method for transferring a stool specimen to the collection container.

A. Obtain the infant's weight with their diaper on. B. Place a stadiometer on the top of the infant's head to measure their length. C. Ensure the scale is balanced to "0" before weighing the infant. D. Cover the scale with a clean sheet of paper.. E. Measure the infant's length from the crown of the head to the heels of the feet.

Correct Answer is ["C","D","E"]

Explanation

Choice A reason:

Obtaining the infant's weight with their diaper on should be avoided as this can alter the result.

Choice B reason:

Placing a stadiometer on the top of the infant's head to measure their length can harm or distress the infant.

Choice C reason:

Ensuring the scale is at 0 is important in obtaining an accurate weight Choice D reason:

Covering the scale with paper is recommended for hygiene purposes

Choice E reason:

This method provides an accurate measurement of the infant's length.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well- child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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