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
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Correct Answer is A
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Children with congenital immunodeficiencies have compromised immune systems and may not be able to mount an adequate immune response to the vaccine. Administering live vaccines, such as MMR, to these children can potentially cause severe complications.
Correct Answer is C
Explanation
Correct answer: C
A. While distraction can sometimes work, it may inadvertently reinforce the tantrum if the child perceives that having a tantrum leads to getting attention or special activities.
B. Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity.
C.When a tantrum does happen, parents should ignore itifitisn’t dangerous.When kids get attention for tantrums,they are more motivated to keep having them. Instead, give attention to yourchildwhen they do something good. Give lots of praise whenthey compromise,try to calm themselves downor do something difficult without a tantrum.
D. Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.
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