Patient Data
Choose the most likely options for the information missing from the statement below by selecting from the lists of options provided. The nurse recognizes that a diagnosis of
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"E"}
Rationale for correct choices:
• Cellulitis: The client presents with redness, warmth, swelling, and pain in the left lower leg, along with a small preceding cut. These findings are characteristic of cellulitis, a bacterial infection of the dermis and subcutaneous tissue, often following a breach in the skin barrier.
• Break in skin: The small cut noted above the lateral ankle provides an entry point for bacteria, explaining the localized infection. A break in skin is a common precursor to cellulitis, particularly in clients with diabetes or vascular compromise.
• Left lower leg erythema: Erythema indicates inflammation and infection, which are hallmark signs of cellulitis. The presence of erythema, along with swelling and warmth, supports the clinical diagnosis of a bacterial skin infection.
Rationale for incorrect choices:
• Left lower leg erythema (as a diagnosis option): Erythema alone describes a symptom rather than a medical diagnosis. While present, it does not capture the underlying bacterial infection requiring treatment.
• Break in skin (as a diagnosis option): A break in the skin is a risk factor or contributing event, not a formal diagnosis. It explains how infection occurred but does not replace the clinical diagnosis of cellulitis.
• Cool, pale left leg: This finding is more indicative of arterial insufficiency or ischemia rather than infection. The client’s affected leg is warm and erythematous, which contrasts with cool, pale tissue.
• Intact skin: Intact skin would not allow bacterial entry and does not explain the localized infection. The client has a visible small cut that preceded the erythema.
• Dry scaly skin: While common in peripheral vascular disease or chronic dermatologic conditions, dry scaly skin does not explain the acute signs of infection seen in this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.3"]
Explanation
- Convert the infant's weight from pounds (lb) to kilograms (kg).
Given weight = 22 lb
Conversion factor = 1 kg = 2.2 lb
Weight (kg) = (Weight in lb / 2.2 lb/kg)
= (22 / 2.2)
= 10 kg.
- Calculate the total daily dose in milligrams (mg/day).
Prescribed dose = 20 mg/kg/day
Total Daily Dose (mg/day) = Weight (kg) x Dose (mg/kg/day)
= 10 kg x 20 mg/kg/day = 200 mg/day.
- Calculate the single dose in milligrams (mg/dose).
Frequency = every 8 hours (3 doses per day)
Single Dose (mg/dose) = (Total Daily Dose / Number of doses per day)
= (200 mg / 3)
= 66.67 mg.
- Calculate the volume in milliliters (mL) to administer per dose.
Available concentration = 250 mg per 5 mL
Volume (mL/dose) = (Single Dose (mg) / Available concentration (mg)) x Available volume (mL)
= (66.67 mg / 250 mg) x 5 mL
= 1.333... mL.
- Round the answer to the nearest tenth.
= 1.3 mL.
Correct Answer is B
Explanation
A. A potty chair should be brought from home to maintain the current level of toileting skills: While familiar items can offer comfort, regression in toileting is typically temporary and does not require special equipment to preserve skills.
B. Children usually resume their toileting behaviors when they leave the hospital: Hospitalization is a stressful event for preschoolers, and temporary regression in toileting is common. Reassuring parents that the child is likely to return to previous toileting behaviors once home helps reduce anxiety and supports normal developmental expectations.
C. Diapering will be provided since hospitalization is stressful to preschoolers: Diapering may be used for convenience or safety, but presenting it as necessary for all hospitalized children may cause unnecessary concern. It does not address the expected return to prior skills.
D. A retraining program will need to be initiated when the child returns home: Most children spontaneously resume previous toileting abilities without formal retraining. Only persistent regression after discharge would warrant intervention.
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