Exhibit 1. Diagnostic Results.
HbA1c 8.5%. Exhibit 2. Hgb 13.5 mg/dL. Hct 39%. WBC count 9,600/mm3.
Exhibit 3. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)
Heart rate.
WBC count.
HbA1c.
Oxygen saturation.
The Correct Answer is D
Choice A rationale:
The nurse does not need to report the heart rate as it falls within the normal range for a school-age child, which is typically between 70-100 beats per minute.
Choice B rationale:
The WBC count is 9,600/mm3, which is within the normal range for a school-age child (4,500 to 13,500/mm3) Therefore, this finding does not warrant reporting to the provider.
Choice C rationale:
HbA1c level is 8.5%, indicating poor blood sugar control. However, this finding is related to the child's cystic fibrosis and not an immediate concern. The nurse should address this issue but does not need to urgently report it to the provider.
Choice D rationale:
Oxygen saturation is 95%, which is within the normal range (typically 95-100%) However, for a child with cystic fibrosis who may have respiratory issues, a lower oxygen saturation level might be concerning. Therefore, the nurse should report this finding to the provider for further evaluation and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Soaking combs and brushes in boiling water for 10 minutes is a good practice to kill scabies mites that might be present on these items. However, it's not the primary mode of transmission for scabies. Scabies spreads through direct, prolonged, skin-to-skin contact with a person who has scabies. While cleaning items like combs and brushes is essential, treating close contacts is more critical to prevent reinfestation.
Choice B rationale:
Treating everyone who came into close contact with the child is the correct approach. Scabies is highly contagious and can easily spread to family members and close contacts. To effectively control the spread of the infestation, everyone who has been in close contact with the infested person should be treated simultaneously, even if they do not show symptoms.
Choice C rationale:
Applying petroleum jelly to the affected areas is not a recommended treatment for scabies. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, and petroleum jelly does not effectively kill the mites. Medicated creams or lotions prescribed by a healthcare provider are the standard treatment for scabies.
Choice D rationale:
Washing the child's hair with shampoo containing ketoconazole is not a recommended treatment for scabies. Ketoconazole is an antifungal medication and is not effective against scabies mites. The primary treatment for scabies involves topical medications, such as permethrin cream or oral medications in severe cases.
Correct Answer is B
Explanation
Choice A rationale:
Limb withdrawal is a pain response and indicates that the infant is experiencing pain. The goal of opioid pain medication is to alleviate pain, so limb withdrawal suggests inadequate pain control.
Choice B rationale:
A relaxed facial expression indicates that the infant is comfortable and not experiencing pain. It is a positive sign that the medication is having a therapeutic effect by providing pain relief.
Choice C rationale:
Increased blood pressure is not a typical response to opioid pain medication. Opioids often cause a decrease in blood pressure and can lead to hypotension.
Choice D rationale:
Bradycardia (slow heart rate) is not a common response to opioid pain medication. Opioids can cause respiratory depression and bradypnea (slow breathing), but they do not typically cause bradycardia.
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