Exhibits

A nurse is collecting data from an adolescent who has a new diagnosis of infectious mononucleosis. 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.)

Skin condition

Temperature

Pain level

Intake

Answer and Explanation

The Correct Answer is C

A. Skin condition: The fine rash noted on the chest and abdomen is not itchy, which is a common finding in infectious mononucleosis. It is not a primary concern unless it worsens or develops other characteristics, but it is not the most urgent issue to report.
B. Temperature: The client's temperature of 38.2°C (100.8°F) is slightly elevated, which is typical in infectious mononucleosis. It is within the expected range for the condition, and the prescribed acetaminophen should help manage the fever.
C. Pain level: The client reports significant pain in the left upper quadrant (rated 8 on a scale of 0 to 10) that worsens with palpation. This could indicate splenic involvement, which is a serious complication of mononucleosis, as the spleen can become enlarged and rupture.
D. Intake: The client is drinking at least 8 cups of water per day and eating about 60% of meals, which is an adequate fluid intake for the current state. Although not perfect, the intake is not a primary concern at this time compared to the pain level.

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Correct Answer is C

Explanation

A. A school-age child who has Haemophilus influenzae type b disease: Haemophilus influenzae type b typically requires droplet precautions, not contact precautions, unless the infection is invasive like meningitis.
B. An adolescent who has pneumonia: Pneumonia caused by most pathogens does not require contact precautions unless there are specific indications such as a highly contagious organism or a superimposed infection that mandates isolation.
C. An infant who has respiratory syncytial virus (RSV): RSV is highly contagious and spreads through respiratory secretions. Contact precautions are necessary to prevent transmission, especially in healthcare settings.
D. A preschooler who has tuberculosis: TB is transmitted through the air via respiratory droplets, so airborne precautions (including a negative pressure room and an N95 respirator) are necessary to prevent transmission.

A. Encourage the child to take responsibility for his actions. B. Maintain a consistent routine at home. C. Provide frequent breaks during homework D. Administer stimulant medication in the morning. E. Limit the child's involvement in physical activities

Correct Answer is ["A","B","C","D"]

Explanation

A. Encourage the child to take responsibility for his actions: While ADHD affects attention and impulse control, it's crucial to teach children accountability for their behavior. This helps them develop self-awareness, learn from mistakes, and foster a sense of control over their actions
B. Maintain a consistent routine at home: Children with ADHD benefit from a structured and predictable environment. A consistent routine helps them feel secure, reduces anxiety, and supports better management of their symptoms, including focus and behavior.
C. Provide frequent breaks during homework: Frequent breaks during homework or tasks help children with ADHD stay focused and prevent frustration. This is an effective strategy to improve concentration and task completion.
D. Administer stimulant medication in the morning: Stimulant medications for ADHD, such as methylphenidate or amphetamines, are usually administered in the morning to help manage symptoms throughout the day. This helps avoid any interference with sleep at night.
E. Limit the child's involvement in physical activities: Physical activity can actually be beneficial for children with ADHD, as it helps them release excess energy and improve focus. Exercise can be a helpful outlet for managing symptoms.

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a group of newly admitted pediatric clients. For which of the following clients should the nurse recommend initiating contact precautions?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about disease management with the parent of a school-age child who has ADHD. Which of the following information should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.