The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Obtain culture specimens.

Administer an antipyretic.

Prepare for intubation.

Insert an IV catheter.

Answer and Explanation

The Correct Answer is C

A. While obtaining culture specimens is important, the priority in this case is managing the child’s airway, as drooling and difficulty swallowing suggest potential airway obstruction.

B. Administering an antipyretic is not the priority; airway management is more urgent in this situation.

C. The priority is to prepare for intubation, as the child’s symptoms suggest possible epiglottitis, which can cause rapid airway obstruction. Securing the airway is critical.

D. Inserting an IV catheter is important for hydration and medication administration, but airway management is the immediate priority.

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Correct Answer is D

Explanation

A. Tracheoesophageal fistula involves an abnormal connection between the esophagus and trachea, typically presenting with respiratory distress, coughing, and feeding difficulties, not a palpable abdominal mass and blood in stools.

B. Hypertrophic pyloric stenosis is characterized by projectile vomiting, dehydration, and an olive-shaped mass in the upper abdomen, not blood and mucus in the stools.

C. Inguinal hernia may present with a bulging mass in the groin area, but it does not cause blood or mucus in stools.

D. Intussusception is characterized by the telescoping of one part of the intestine into another, which can cause a palpable mass, abdominal pain, and stools mixed with blood and mucus (often referred to as "currant jelly" stools).

A. "Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels." B. "Sickled red blood cells are c-shaped and tend to stick together more easily." C. "Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells." "Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels." "Sickled red blood cells are donut-shaped and stick together easily." D. "Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood."

Correct Answer is ["B","D","E"]

Explanation

A. Sickled cells are rigid, not flexible, making it harder for them to pass through small vessels.

B. Sickled red blood cells are crescent or "c" shaped and have an increased tendency to clump together, which obstructs blood flow.

C. Sickled cells have a short lifespan, so they do not circulate longer than healthy cells.

D. Sickled cells are rigid, making it difficult for them to pass through small blood vessels, leading to blockages and reduced oxygen delivery.

E. Sickled red blood cells have a shorter lifespan (about 10-20 days compared to the normal 120 days), leading to anemia and a decreased number of circulating red blood cells.

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The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?

Correct Answer is D

Explanation

A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

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