A newborn was admitted to the hospital with vomiting and dehydration. The newborn's heart rate is 170, respiratory rate is 44, blood p 85/52, and temperature is 99 Degree F (37.2 Degree C). What is the nurse's best response to the parents who ask if the vital signs are normal?
"The blood pressure is elevated, but the other vital signs are within normal limits”
"The heart rate is elevated, but the other vital signs are within normal limits"
"The temperature is elevated, but the other vital signs are within normal limits"
“The respiratory rate is elevated, but the other vital signs are within normal limits"
The Correct Answer is B
While the newborn's heart rate of 170 bpm is elevated, the respiratory rate of 44 breaths/min, blood pressure of 85/52 mmHg, and temperature of 99°F (37.2°C) are within the normal range for a newborn.
It is important for the nurse to explain to the parents that the newborn's heart rate may be elevated due to the vomiting and dehydration and that healthcare providers will monitor the vital signs closely to ensure the newborn's stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
According to Erikson's theory, the psychosocial task for this age group is industry versus inferiority, where children develop a sense of competence and accomplishment through mastering tasks. By supporting the child's educational activities and encouraging them to complete school work, the nurse helps promote a sense of industry and competence.
Correct Answer is D
Explanation
Scoliosis is a condition characterized by an abnormal sideways curvature of the spine, resulting in an S or C shape when viewed from the back. It commonly develops during adolescence and can vary in severity. The lateral curvature of the spine observed during the physical examination is a key sign of scoliosis.
Lordosis refers to an excessive inward curvature of the spine in the lower back, while kyphosis refers to an excessive outward curvature of the spine in the upper back, often referred to as a "hunchback."
Torticollis, on the other hand, is a condition characterized by an abnormal position or tilt of the head due to muscle tightness or weakness.
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