Page 1017 - Saunders Comprehensive Review For NCLEX-RN

Health Problem: Pediatric-Specific: Conjunctivitis
Priority Concepts: Clinical Judgment; Infection
Reference: McKinney et al. (2018), pp. 926-927.

344. Answer: 3

Rationale: Conjunctivitis is an inflammation of the conjunctiva. Bacterial
conjunctivitis is highly contagious, and the nurse should teach infection control
measures. These include good hand washing and not sharing towels and
washcloths. Options 1, 2, and 4 are correct treatment measures.
Test-Taking Strategy: Note the strategic words, need for further teaching. These
words indicate a negative event query and ask you to select an option that is an
incorrect statement. Options 1, 2, and 4 can be eliminated by recalling that bacterial
conjunctivitis is highly contagious.
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Pediatrics: Infectious and Communicable Diseases
Health Problem: Pediatric-Specific: Conjunctivitis
Priority Concepts: Client Education; Infection
Reference: Hockenberry, Wilson, Rodgers (2017), p. 171.

345. Answer: 2

Rationale: A tonsillectomy is the surgical removal of the tonsils. Because the
tonsillar area is so vascular, postoperative bleeding is a concern. Prothrombin time,
partial thromboplastin time, platelet count, hemoglobin and hematocrit, white blood
cell count, and urinalysis are performed preoperatively. The prothrombin time
results would identify a potential for bleeding. Creatinine level, sedimentation rate,
and blood urea nitrogen would not determine the potential for bleeding.
Test-Taking Strategy: Note the strategic word, most. Focus on the surgical
procedure and the subject of the question. The subject of the question relates to the
potential for bleeding. Options 1 and 4 can be eliminated because they relate to
kidney function. Option 3 can be eliminated because it is unrelated to the subject of
the question.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pediatrics: Throat/Respiratory
Health Problem: Pediatric-Specific: Tonsillitis and Adenoiditis
Priority Concepts: Clinical Judgment; Clotting
References: McKinney et al. (2018), pp. 1040-1041; Pagana et al. (2015), p. 767.

346. Answer: 2

Rationale: A tonsillectomy is the surgical removal of the tonsils. The child should
be placed in a prone or side-lying position after the surgical procedure to facilitate

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