{"id":137106,"date":"2024-09-12T08:35:28","date_gmt":"2024-09-12T08:35:28","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137106"},"modified":"2024-09-12T08:35:31","modified_gmt":"2024-09-12T08:35:31","slug":"a-nurse-on-a-pediatric-unit-is-preparing-to-admit-a-preschooler-after-receiving-a-transfer-report-from-a-nurse-in-the-emergency-department","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/a-nurse-on-a-pediatric-unit-is-preparing-to-admit-a-preschooler-after-receiving-a-transfer-report-from-a-nurse-in-the-emergency-department\/","title":{"rendered":"A nurse on a pediatric unit is preparing to admit a preschooler after receiving a transfer report from a nurse in the emergency department"},"content":{"rendered":"\n<p>A nurse on a pediatric unit is preparing to admit a preschooler after receiving a transfer report from a nurse in the emergency department. Which of the following findings should the nurse report to the provider immediately?<\/p>\n\n\n\n<p>A.<br>The child has not had a bowel movement for 5 days.<\/p>\n\n\n\n<p>B.<br>The child is crying and clinging to the guardian.<\/p>\n\n\n\n<p>C.<br>The child has a temperature of 38.8\u00b0C (101.9\u00b0F) tympanic.<\/p>\n\n\n\n<p>D.<br>The insertion site of the central line catheter is erythematous with a scant amount of purulent drainage.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>D. The insertion site of the central line catheter is erythematous with a scant amount of purulent drainage.<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>When admitting a preschooler, particularly one with a central line, the nurse needs to prioritize findings that indicate potential complications that could lead to serious infections or other critical issues.<\/p>\n\n\n\n<p><strong>1. Central Line Complications:<\/strong><br>The central line is a catheter placed in a large vein to administer medications, fluids, or for other treatments. One of the most severe complications associated with central lines is infection. Erythema (redness) and purulent (pus-like) drainage at the insertion site are signs of possible infection, such as a local cellulitis or more serious systemic infection, including sepsis. Infections related to central lines can quickly escalate, leading to severe outcomes. Therefore, these findings require immediate attention and intervention from a provider.<\/p>\n\n\n\n<p><strong>2. Comparison of Other Findings:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. The child has not had a bowel movement for 5 days.<\/strong> While constipation can be concerning, it does not typically constitute an immediate medical emergency compared to signs of infection. However, it should be addressed and monitored but does not require the same urgent response as a potential central line infection.<\/li>\n\n\n\n<li><strong>B. The child is crying and clinging to the guardian.<\/strong> This behavior is common among preschoolers, especially in a new or stressful environment like a hospital. It indicates emotional distress but is not an immediate medical concern.<\/li>\n\n\n\n<li><strong>C. The child has a temperature of 38.8\u00b0C (101.9\u00b0F) tympanic.<\/strong> A fever is a sign of infection or other illness and requires evaluation, but it is not as urgent as an infection at the central line site which could potentially be life-threatening.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the presence of erythema and purulent drainage at the central line insertion site indicates a potential infection that can lead to severe complications if not promptly addressed. Hence, this finding should be reported to the provider immediately.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse on a pediatric unit is preparing to admit a preschooler after receiving a transfer report from a nurse in the emergency department. Which of the following findings should the nurse report to the provider immediately? A.The child has not had a bowel movement for 5 days. B.The child is crying and clinging to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137106","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137106"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137106\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137106"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}