A nurse is prioritizing potential complications that may occur to a pediatric client who has cellulitis. Which of the following is the primary concern?
Methicillin resistance
Redness in affected area
Risk for recurrence
Possible sepsis
The Correct Answer is D
A. While methicillin resistance is a concern, it does not pose an immediate threat to the child’s life compared to the risk of sepsis.
B. Redness in the affected area is a typical symptom of cellulitis and, while it should be monitored, it is not the most urgent concern.
C. The risk for recurrence is important for long-term management but is not the primary concern in the acute phase of cellulitis.
D. Sepsis is the most immediate concern in cellulitis because the infection can rapidly spread into the bloodstream, leading to systemic infection and potential life-threatening complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.
B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.
C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.
D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.
Correct Answer is C
Explanation
A. Constipation is not typically associated with sickle cell crisis. While it can occur due to medications or dehydration, it is not a primary symptom of a crisis.
B. Bradycardia is not a typical manifestation of sickle cell crisis. The patient might experience tachycardia due to pain or dehydration.
C. Pain is the hallmark symptom of a sickle cell crisis. The sickle-shaped red blood cells obstruct blood flow, leading to ischemia and severe pain, often in the joints or abdomen.
D. Fever can occur if there is an infection, but pain is the most characteristic finding in a sickle cell crisis.
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