The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis

A term 2-week-old infant of American Indian descent with an upper respiratory infection

A post-term 4-week-old infant, Black descent, with moderate emesis after feeding

A 1-week-old infant born at 40 weeks’ gestation with symptoms of cough

Answer and Explanation

The Correct Answer is A

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

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Correct Answer is B

Explanation

a) Obtaining a sweat chloride test: Likely already part of routine monitoring for cystic fibrosis.

b) Reproductive ability: Adolescents with cystic fibrosis may need education regarding how their condition can affect fertility.

c) The effect of pancreatic enzymes on sex hormones: Not a commonly discussed aspect in cystic fibrosis care.

d) Increased need for weight reduction diet: Weight maintenance or specific diets to promote weight gain are more commonly addressed in cystic fibrosis care.

A. Hyperthermia B. Respiratory distress C. Bradycardia D. Seizure

Correct Answer is D

Explanation

a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.

b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.

c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.

d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.

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The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?

Correct Answer is B

Explanation

The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

Correct Answer is D

Explanation

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