The nurse is caring for a 2 month old child with a fever of 101.76. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?

Replace fluids orally

Administer antibiotics as prescribed

Obtain a specimen for complete blood co

Obtain urinalysis

Answer and Explanation

The Correct Answer is B

A. While fluid replacement is important, in a toxic-appearing child, oral fluids may not be safe or adequate due to potential dehydration and risk of worsening condition.

B. Administering antibiotics is the priority action because the child shows signs of potential serious infection, and timely antibiotic treatment is crucial in young infants who may quickly deteriorate.

C. Obtaining a specimen for a complete blood count is necessary for diagnosing infection but is not as urgent as administering antibiotics.

D. While obtaining a urinalysis may help identify a urinary tract infection, it is not the immediate priority compared to starting antibiotic therapy.

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Correct Answer is B

Explanation

A. Educating the family about antibiotics is important but not the immediate priority for symptom management.

B. Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.

C. Applying an ice pack can provide some comfort but does not directly address the child's pain as effectively as medication.

D. Providing diversional activities may help occupy the child but is not a direct intervention for the pain associated with acute otitis media.

A. Administer antibiotics. B. Obtain weight weekly C. Encourage increased fluid intake D. Encourage frequent ambulation

Correct Answer is B

Explanation

A. Antibiotics are not routinely indicated for acute glomerulonephritis unless there is an underlying infection; the condition is often related to an immune response.

B. Monitoring weight is crucial in acute glomerulonephritis to assess for fluid retention and manage edema effectively.

C. Fluid intake may need to be restricted to manage hypertension and edema, so encouraging increased intake is not appropriate.

D. While ambulation is important for general health, it is not a primary intervention for managing acute glomerulonephritis.

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The nurse is caring for a 2 month old child with a fever of 101.76. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?

Correct Answer is B

Explanation

A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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