The nurse performs an assessment of a child with pertussis (whooping cough). Which finding would the nurse identify as indicative of a potential complication?
A urinary output of 30 mL/hr
A white blood cell (WBC) count of 10.000 mm3 (10×109/L)
Decreased breath sounds in the lung bases
A weight gain
The Correct Answer is C
A. A urinary output of 30 mL/hr
Explanation: While decreased urinary output may indicate dehydration, it is not a specific finding related to pertussis. Dehydration can occur due to inadequate fluid intake or loss through vomiting or sweating.
B. A white blood cell (WBC) count of 10,000 mm3 (10×10^9/L)
Explanation: An elevated white blood cell count is a common finding in infections, including pertussis. It reflects the body's immune response to the infection. A WBC count of 10,000 mm3 is within the normal range, and while it indicates an inflammatory response, it does not specifically point to a complication.
C. Decreased breath sounds in the lung bases
Explanation:
Pertussis is a respiratory infection caused by the bacterium Bordetella pertussis. Complications can arise, including pneumonia. Decreased breath sounds in the lung bases may suggest the presence of pneumonia, which is a serious complication of pertussis. Pneumonia can lead to respiratory distress and requires prompt medical attention.
D. A weight gain
Explanation: Weight gain is not typically associated with pertussis. In fact, respiratory distress and difficulty feeding during coughing paroxysms can lead to weight loss in infants with pertussis. Weight gain may be indicative of other unrelated factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["800"]
Explanation
The Parkland formula is commonly used to calculate the fluid requirements for burn resuscitation. The formula is:
Fluid requirement (in mL)=TBSA×Weight (in kg)×Fluid volume (in mL/kg)
For burn patients, the recommended fluid volume is typically 4 mL/kg for each percent of TBSA burned.
Let's calculate the fluid requirement for the given case:
Fluid requirement=40%×22 lbs×4 mL/kg
First, convert the weight from pounds to kilograms:
Weight (in kg)= Weight (in lbs)/2.2
Weight (in kg)=22 lbs/2.2≈10 kg
Now, calculate the fluid requirement:
Fluid requirement=40% x 10 kg × 4 mL/kg
Fluid requirement=1600mL(totalfluidover24hours)
Fluid for the first 8 hours:
1600/2=800ml
Thus, the child will receive 800 mL of fluid in the first 8 hours after the burn injury.
Correct Answer is A
Explanation
A. Administer prednisone on an alternate-day schedule.
Explanation: Prednisone, a corticosteroid, is often prescribed to manage inflammation and symptoms in juvenile idiopathic arthritis. An alternate-day schedule helps minimize the risk of side effects associated with prolonged corticosteroid use.
B. Apply cool compresses for 20 minutes every hour.
Incorrect: While cool compresses can provide relief for joint pain associated with arthritis, applying them every hour may be excessive and is not a standard recommendation. It's important to use cooling measures judiciously.
C. Encourage the child to take a 45-minute nap daily.
Incorrect: While adequate rest is important for overall health, suggesting a specific duration for a nap may not be universally applicable. The child's need for rest and sleep should be based on individual factors, and a specific time frame is not a standard recommendation for juvenile idiopathic arthritis.
D. Allow the child to stay at home on days when her joints are painful.
Incorrect: While it's important to consider the child's comfort and well-being, keeping the child at home solely on days of joint pain may not be necessary. The goal is to manage symptoms effectively to allow participation in normal daily activities, including school. Restricting activities solely based on joint pain is not the typical approach to managing juvenile idiopathic arthritis.
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