In planning for the admission of this infant, the nurse's highest priority should be to:

Correct Answer: B

Rationale: When planning for the admission of an infant, the nurse's highest priority should be to turn on the apnea and cardiorespiratory monitors. Monitoring the baby's breathing and heart rate is crucial for assessing the infant's overall condition and detecting any signs of distress. This allows for early intervention if any issues arise and helps ensure the infant's safety and well-being. Once the monitors are on and the baby is stable, other interventions like providing oxygen or setting up an IV line can be addressed. However, monitoring the baby's vital signs takes precedence in ensuring immediate and continuous assessment.

Correct Answer: C

Rationale: Lily, with an intelligence quotient of 65, falls into the category of moderate intellectual disability, which typically ranges from IQ 35-49 to 50-69. Children with moderate intellectual disability have limitations in intellectual functioning that result in difficulties with adaptive behaviors, learning, and social skills. They can benefit from training, therapies, and educational interventions to improve their functional abilities and quality of life. While they may require support and supervision in various aspects of daily living, they are not completely dependent on others for care like individuals with severe or profound intellectual disability. Therefore, the nurse should consider Lily as moderately retarded but trainable when planning care for her in the hospital.

Correct Answer: B

Rationale: When educating parents regarding known antecedent infections in acute glomerulonephritis, the nurse should cover impetigo. Acute poststreptococcal glomerulonephritis (APSGN) is commonly triggered by a streptococcal infection, such as impetigo or strep throat. Impetigo, a superficial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes, is a common precursor to APSGN in children. Therefore, educating parents about impetigo and its potential link to acute glomerulonephritis is crucial in helping them recognize and manage their child's health effectively.

Correct Answer: B

Rationale: When caring for a child with diabetic ketoacidosis in the intensive care unit, evaluating the child for cardiac abnormalities is of primary importance. Diabetic ketoacidosis can lead to electrolyte imbalances, such as hypokalemia, which can result in cardiac complications, such as arrhythmias and cardiac arrest. Monitoring the child's cardiac function, including obtaining an electrocardiogram (EKG) and assessing for signs of heart failure, is essential in managing and preventing potential cardiac complications in this critical condition. While the other options are important considerations in the care of a child with diabetic ketoacidosis, evaluating the child for cardiac abnormalities takes precedence due to the life-threatening implications of cardiac complications in this setting.

Correct Answer: A

Rationale: The most appropriate intervention to include in the client education program for sickle cell disease (SCD) in children is health teaching to help reduce sickling crises. Education plays a crucial role in managing SCD, and teaching children and their families about strategies to prevent sickling crises can significantly improve health outcomes. This may include advising on proper hydration, avoiding extreme temperatures, maintaining a healthy lifestyle, recognizing the early signs of a crisis, and seeking prompt medical attention when necessary. By providing education on ways to reduce sickling crises, Nurse Christine can empower the children and their families to better manage the condition and improve quality of life.