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

Answer and Explanation

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.

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Free Nursing Study Resources

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.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["800"]

Explanation

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

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A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

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