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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Preschoolers, typically between the ages of 3 and 5 years, engage in imaginative and pretend play. They often create scenarios, role-play, and use their imagination to create fictional situations and characters. This type of play is important for their cognitive, social, and emotional development.
Building a section of cards and controlling impulsive feelings are not specific developmental tasks typically associated with preschoolers. While building with blocks or other construction toys can enhance fine motor skills and problem-solving abilities, building a section of cards is not a common developmental milestone. Controlling impulsive feelings is an ongoing process that develops over time and requires guidance and support from parents and caregivers, but it is not solely expected of preschoolers.
Correct Answer is C
Explanation
A. Picture book about hospitals might not be engaging enough for a 2-year-old and might not provide the comfort needed in a stressful situation.
B. Set of building blocks could be a good option for some children, but it may not provide the same level of comfort as a stuffed animal.
C.A lovey, often called a transitional object, is that much loved item that a child will attach themselves to. It could be a stuffed toy, doll, blanket or even a pacifier.Stuffed animals are often considered comfort objects for young children. They provide a sense of security and familiarity, which can be helpful in managing stress and anxiety, especially during separation from a parent.
D. Toy hammer and pounding board could be engaging but may not offer the same emotional comfort as a stuffed animal.This could be more stimulating than calming for a child experiencing separation anxiety.
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