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 B
Explanation
These foods are rich sources of iron, which is important for treating and preventing iron deficiency anemia. Meats, such as beef, poultry, and fish, provide heme iron, which is more easily absorbed by the body. Eggs and green vegetables, such as spinach and broccoli, contain non-heme iron, which is also beneficial.
While fruits, whole grains, and rice are nutritious foods, they are not as rich in iron as meats and green vegetables. Therefore, they may not provide sufficient iron to address the child's iron deficiency anemia.
Drinking 32 oz of whole cow's milk per day is not recommended for a 2-year-old with iron deficiency anemia. Excessive cow's milk intake can lead to iron deficiency anemia because it can interfere with iron absorption and displace iron-rich foods from the diet. Similarly, consuming 8 oz of juice, three times a day is not recommended for a child with iron deficiency anemia. Juice does not provide significant amounts of iron and can contribute to decreased appetite for iron-rich foods. It is generally recommended to limit juice intake and prioritize whole foods for iron intake.
Correct Answer is D
Explanation
This indicates a potential vision problem in the child that needs further evaluation and intervention. Squinting to see the board suggests that the child may be experiencing difficulty with vision or visual acuity, which can impact their academic performance and overall well-being.
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