Nokea
A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?
- A. Decreased hematocrit
- B. Increased respiratory rate
- C. Decreased heart rate
- D. Increased platelet count
Correct Answer: B
Rationale: Dehydration can lead to tachypnea (increased respiratory rate) as the body attempts to compensate for the decreased blood volume.
You may also like to solve these questions
A nurse is caring for an Infant who has spina bifida. Which of the following actions should the nurse take?
- A. Perform range-of-motion (ROM) exercises to the infant's hips.
- B. Place the infant in a prone position.
- C. Feed the infant through an NG tube.
- D. Cover the infant's lesion with a dry cloth.
Correct Answer: B
Rationale: This helps prevent pressure on the spina bifida lesion and minimizes the risk of injury or infection.
A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
- A. Stand above the child's eye level when speaking.
- B. Talk directly into the child's impaired ear.
- C. Speak loudly to the child.
- D. Speak slowly while facing the child.
Correct Answer: D
Rationale: Speaking slowly and facing the child ensures that they can read lips and facial expressions.
A nurse is reinforcing teaching about preventing disease transmission with the parents of a child who has a streptococcal infection. Which of the following instructions should the nurse include?
- A. I'll give him acetaminophen for the pain.
- B. I'll discard his toothbrush and buy another.
- C. I'll continue to encourage him to drink lots of fluids.
- D. I'll take his temperature every 4 hours.
Correct Answer: B
Rationale: Replacing the toothbrush after starting antibiotics helps to reduce the risk of reinfection.
A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
- A. Gently reinsert the tubes.
- B. Call the health care clinic to report that the tubes have fallen out.
- C. Reassure the mother that the tubes will not fall out.
- D. Take the child to an emergency department.
Correct Answer: B
Rationale: The healthcare provider needs to be informed to assess if new tubes are necessary.
A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?
- A. Keep the client's leg in a dependent position.
- B. Use a hair dryer on a hot setting to dry the cast.
- C. Discourage the client from ambulating.
- D. Perform a neurovascular check of the lower extremities.
Correct Answer: D
Rationale: Neurovascular checks are essential to ensure that there is adequate blood flow and nerve function below the cast.