NCLEX-RN
Planning Questions
Extract:
Question 1 of 5
The nurse is preparing to care for an infant diagnosed with pertussis. Which priority problem should the nurse address when planning care?
Correct Answer: D
Rationale: The priority problem for the child with pertussis relates to adequate air exchange. Because of the copious, thick secretions that occur with pertussis and the small airways of an infant, air exchange is critical. Infection is an important consideration, but airway is the priority. A deficient fluid volume is more likely to occur in this infant because of the thick secretions and vomiting. Sleep patterns may be disturbed because of the coughing, but this is not the critical issue.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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