A nurse on a pediatric unit is receiving a report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?

A 4-year-old preschooler who has status asthmaticus and a pulse oximetry of 95%

A 1-year-old infant who has roseola and a temperature of 39°C (102.2°F)

A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.002

A 10-year-old child who has sickle cell anemia and a pain rating of 6 on a 0 to 10 scale

Answer and Explanation

The Correct Answer is C

A. A 4-year-old preschooler who has status asthmaticus and a pulse oximetry of 95%. While status asthmaticus is a serious condition, a pulse oximetry reading of 95% indicates adequate oxygenation, so this child is not in immediate distress.

B. A 1-year-old infant who has roseola and a temperature of 39°C (102.2°F). While the fever requires monitoring and treatment, roseola is typically a self-limiting illness, and this temperature, while high, is not immediately life-threatening.

C. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.002. A urine specific gravity of 1.002 indicates very dilute urine, which is concerning for diabetes insipidus and potential dehydration. This condition requires immediate attention to prevent severe dehydration and electrolyte imbalance.

D. A 10-year-old child who has sickle cell anemia and a pain rating of 6 on a 0 to 10 scale. While managing pain in sickle cell anemia is important, the child’s condition is stable, and pain relief can be addressed after assessing the more urgent case of potential dehydration in the child with diabetes insipidus.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. "You will need to take the entire prescription of antibiotics even if your symptoms improve." Atopic dermatitis is typically not treated with antibiotics unless there is a secondary bacterial infection. The standard treatment usually involves topical corticosteroids and emollients.

B. "The doctor will remove the lesions with liquid nitrogen." This is incorrect as liquid nitrogen is used for treating warts and certain types of skin lesions, not atopic dermatitis.

C. "The doctor might recommend an antihistamine to help control your symptoms." This is a correct statement. Antihistamines can help reduce itching and provide relief, which is a common symptom of atopic dermatitis.

D. "You can relieve your child's discomfort by applying warm compresses to the lesions." Warm compresses are not typically recommended for atopic dermatitis. Cool compresses or baths are more beneficial to reduce itching and inflammation.

A. "Give her acetaminophen, not aspirin." B. "You'll have to call your physician." C. "Follow the directions on the aspirin bottle for her age and weight." D. "Give her no more than three baby aspirin every 4 hours."

Correct Answer is A

Explanation

A. "Give her acetaminophen, not aspirin." This is the appropriate response. Acetaminophen is commonly recommended for treating fever in children as it is safer and does not carry the risk of Reye's syndrome, a rare but serious condition associated with aspirin use in children and adolescents, particularly when they have viral infections. This response provides a safe alternative and addresses the immediate concern of fever treatment.

B. "You'll have to call your physician." While consulting a physician is generally good advice, this response does not provide immediate guidance or address the potential risks of giving aspirin to a toddler. It leaves the parent without immediate and necessary information to prevent harm.

C. "Follow the directions on the aspirin bottle for her age and weight." This response is inappropriate and potentially harmful. Aspirin should not be given to children, especially without a physician's guidance, due to the risk of Reye's syndrome. Following dosage directions on an aspirin bottle is unsafe for a toddler, as aspirin is not recommended for children in this age group for fever treatment.

D. "Give her no more than three baby aspirin every 4 hours." This is incorrect and dangerous advice. Giving any amount of aspirin to a toddler is not recommended because of the risk of Reye's syndrome. Suggesting a specific dosage implies that it's safe to give aspirin to a child, which it is not in this context.

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A nurse on a pediatric unit is receiving a report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the parents of a preschooler who has atopic dermatitis. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?

Correct Answer is A

Explanation

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