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A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients?

A.

A child who is experiencing sickle cell crisis

B.

A child who has a head injury

C.

A child who has a new diagnosis of type 1 diabetes mellitus

D.

A child who has streptococcal pharyngitis

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. A child who is experiencing sickle cell crisis may require isolation to prevent infection and avoid complications related to sickle cell disease.

 

B. A child who has a head injury may require specific monitoring and precautions that are not suitable for a postoperative appendectomy patient.

 

C. A child who has a new diagnosis of type 1 diabetes mellitus generally has a stable condition that can be managed with routine care and would be an appropriate roommate for a postoperative appendectomy patient.

 

D. A child who has streptococcal pharyngitis could pose an infection risk to the postoperative appendectomy patient and is better kept separate to prevent the spread of infection.


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View Related questions

Correct Answer is B

Explanation

Rationale:

A. Fill the bath basin with tap water that is 39° C (102.2° F) is too warm for bathing; the recommended water temperature is typically around 37°C (98.6°F) to prevent burns or discomfort.

B. Pull the curtain around the client's bed ensures privacy for the client during the bath, which is important for maintaining dignity and confidentiality.

C. Wash the client's arms and hands first is not necessarily the first step; typically, washing the face and then moving to the rest of the body is preferred.

D. Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus is incorrect as it should be done from the inner canthus to the outer canthus to avoid spreading any discharge across the eye.

Correct Answer is A

Explanation

Rationale:

A. Diaphoretic with epigastric pain could be indicative of a myocardial infarction or other severe condition and requires immediate attention.

B. A toddler with a laceration and distress needs care but is not as urgent as potential cardiac issues.

C. An adolescent with slurred speech and belligerence could indicate a neurological issue, but is less immediate than a potential cardiac event.

D. A young adult with a sunburn is painful but not life-threatening compared to other scenarios.

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