Practice Question
A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
Answer Choices:
Correct Answer:
A 10-year-old child who has sickle cell anemia who reports severe chest pain
Rationale:
🔷Severe chest pain in a child with sickle cell anemia is a high-priority finding, as it may indicate acute chest syndrome, which is a life-threatening complication.
🔷 This condition can cause hypoxia and requires immediate intervention, such as oxygen therapy and possibly blood transfusions.
🔷Chest pain should be taken very seriously in children with sickle cell disease, as it could also be related to pulmonary embolism or infection, which are emergencies requiring fast action.
🔷Given that the client has sickle cell anemia, which predisposes them to vascular occlusion and other complications, addressing respiratory issues and pain management should take precedence.
🔷 The nurse should assess the child for signs of respiratory distress, oxygen saturation, and other indicators of cardiovascular instability.
A 1-year-old toddler who has roseola and a temperature of 39°C (102.2°F)
🔷 A high fever is a common symptom in roseola, and although it may cause discomfort, it is typically self-limiting and resolves in a few days.
🔷 While the fever should be monitored, it does not suggest an immediate threat to the child’s well-being, making it less urgent than the sickle cell-related chest pain.
A 4-year-old child who has asthma and a PCO2 of 37 mm Hg
🔷 The PCO2 of 37 mm Hg is within the normal range (35–45 mm Hg), and there are no immediate signs of respiratory distress from the asthma.
🔷 While asthma needs to be managed and monitored, this client’s current PCO2 level does not indicate an acute crisis, so they can be assessed after more urgent concerns.
A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016
🔷 A urine specific gravity of 1.016 is within the normal range and does not indicate any acute issues with hydration or diabetes insipidus.
🔷 This finding suggests that the client’s condition is stable and requires ongoing monitoring, but it does not necessitate immediate intervention over more urgent symptoms.
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This question is from Custom NUR 2241 Pediatric Final Exam which contains 40 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4