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    Ati pn paediatrics nursing 2023 proctored exam

    Exhibits Complete the following sentence by using the lists of options. The nurse should first address the adolescent's dropdownfollowed by the adolescent'sdropdown

    Explanation & Rationale

    Rationale for Correct Choices: Blood pressure: The adolescent's blood pressure has decreased significantly from 116/60 mm Hg to 88/50 mm Hg, indicating hypotension. This is a priority, as low blood pressure can lead to poor perfusion of vital organs and can worsen the overall condition. Immediate action, such as fluid resuscitation, is necessary. Temperature: The adolescent has a persistent high fever (39°C or 102.2°F), which needs to be managed to prevent complications such as febrile seizures or increased intracranial pressure, especially given the suspected meningitis. Fever management will help improve comfort and reduce metabolic demand on the body. Rationale for Incorrect Choices: Nausea: While nausea is an uncomfortable symptom, it is not as urgent as hypotension. Managing blood pressure and stabilizing the adolescent's circulation takes priority before addressing nausea. Level of consciousness: The adolescent is lethargic but responsive to verbal stimuli. While their level of consciousness is important to monitor, it is primarily related to the underlying infection (likely meningitis). Stabilizing blood pressure and fever should be prioritized. Abdominal findings: The adolescent's abdominal findings (soft, flat abdomen with active bowel sounds) are not immediately concerning. The priority is managing the acute symptoms related to suspected meningitis and hypotension, rather than abdominal issues.

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