Reggie is a teenager suffering from osteomyelitis; the nurse would expect which of the following symptoms? Select all that apply.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Pneumococcal pneumonia often presents with symptoms such as chest pain due to inflammation of the lung tissue. In children, chest pain may be a common symptom alongside other signs like fever, cough, and difficulty breathing. Since Fred has been diagnosed with pneumococcal pneumonia, Nurse Nica would expect to assess him for chest pain as part of the typical presentation of this condition in children.

Correct Answer: A

Rationale: Pain management is a crucial component in the plan of care for a preschool-age child admitted with a vasoocclusive sickle cell crisis. Sickle cell disease causes blood vessels to become blocked, leading to ischemia and pain. Managing pain promptly and effectively is necessary to improve the child's comfort level and prevent complications. Pain management strategies typically involve the use of analgesic medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids, tailored to the child's age and weight. Additionally, non-pharmacological interventions like distraction techniques and positioning can help in reducing pain and promoting relaxation in children during a sickle cell crisis.

Correct Answer: C

Rationale: Ventricular hypertrophy of endocarditis is a cardiac condition resulting from inflammation and infection of the endocardium along with hypertrophy of the ventricular walls. It requires specific treatment with appropriate antibiotics to manage the infection and inflammation. TOF (Tetralogy of Fallot) is a cyanotic heart defect characterized by four specific heart abnormalities (pulmonary valve stenosis, overriding aorta, VSD, and right ventricular hypertrophy). The question asks for an example of an acyanotic heart defect, where blood can flow through the heart without mixing poorly oxygenated and well-oxygenated blood. PDA (Patent Ductus Arteriosus), ASD (Atrial Septal Defect), and VSD (Ventricular Septal Defect) are all examples of acyanotic heart defects as they do not cause a mixing of oxygenated and deoxygenated blood.

Correct Answer: B

Rationale: Neonatal nurses are likely to use Pavlik's maneuver to detect developmental dysplasia of the hip (DDH) in newborns. Pavlik's maneuver is a technique used to diagnose, treat, and manage DDH in infants. It involves positioning the infant's hips in a flexed and abducted position to help stabilize the hip joint and promote proper development. This technique is gentle and non-invasive, making it suitable for screening infants for hip dysplasia. Other maneuvers listed, such as Barlow's, Gower's, and Allis's maneuvers, are different techniques used to assess hip stability or alignment and are not specific to DDH screening in newborns.