The parent of a 6-year-old child arrives at a clinic because the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis. the nurse determines that which requires further investigation?
Possible sexual abuse
Possible trauma
Presence of an allergy
Presence of a respiratory infection
The Correct Answer is A
A. Possible sexual abuse.
Correct Answer: Chlamydial conjunctivitis in a child can raise concerns about possible sexual abuse. Chlamydia trachomatis, the bacterium responsible for chlamydial conjunctivitis, is commonly transmitted through contact with infected genital secretions. Therefore, the presence of chlamydial conjunctivitis in a child may warrant further investigation into the possibility of sexual abuse.
B. Possible trauma:
Incorrect: While trauma can cause eye-related symptoms, chlamydial conjunctivitis is specifically associated with an infection caused by Chlamydia trachomatis.
C. Presence of an allergy:
Incorrect: Allergic conjunctivitis may cause itchy, red, and swollen eyes, but chlamydial conjunctivitis is caused by a bacterial infection and is not related to allergies.
D. Presence of a respiratory infection:
Incorrect: Chlamydial conjunctivitis is not typically associated with respiratory infections. It is primarily caused by Chlamydia trachomatis and is more commonly linked to genital tract infections.
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 ["5.3"]
Explanation
To calculate the dose of acetaminophen, you can use the following formula:
Dose (in mg)= Weight (in kg) × Dose (mg/kg)
First, convert the weight from pounds to kilograms:
Weight (in kg)= Weight (in lb)/ 2.2
Weight (in kg)=28 lb/ 2.2 ≈ 12.73kg
Now, calculate the dose:
Dose (in mg) =12.73 kg × 10 mg/kg ≈ 127.3 mg
Next, determine how many milliliters (mL) of the available acetaminophen solution (120 mg/5 mL) contain the calculated dose:
Volume (in mL)=Dose (in mg)/Concentration (in mg/mL)
Volume (in mL) =127.3 mg/( 120 mg/5 mL)
Volume (in mL)≈127.3 mg / 24 mg/mL ≈ 5.304 mL
Therefore, the nurse should administer approximately 5.3 mL of acetaminophen.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.