A nurse in a clinic is caring for a client who is pregnant and asks how she should help her 4-year-old son prepare for the new baby. Which of the following statements should the nurse make?

"Surprise your son with a new bedroom after you bring the baby home."

"Purchase a gift to give to your son from your baby."

"Make sure you are holding your baby when your son comes to visit you in the hospital."

"Use medical terminology when teaching your son about your new baby."

Answer and Explanation

The Correct Answer is B

Rationale:

A. "Surprise your son with a new bedroom after you bring the baby home.": Sudden changes, especially without preparation, can increase feelings of insecurity or jealousy in young children. Involving the child in changes before the baby arrives helps promote acceptance and reduces anxiety.

B. "Purchase a gift to give to your son from your baby.": This strategy helps foster a positive bond between the older sibling and the newborn. It helps the child feel acknowledged and valued during a time when attention naturally shifts to the new baby.

C. "Make sure you are holding your baby when your son comes to visit you in the hospital.": Holding the baby during the first meeting can intensify feelings of displacement or jealousy in the older child. It's better to greet the child warmly and introduce the baby together to maintain emotional connection.

D. "Use medical terminology when teaching your son about your new baby.": Preschool-aged children benefit more from simple, age-appropriate explanations. Medical jargon can confuse or overwhelm them, making it harder to process the concept of a new sibling.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Rationale:

Hypercapnia: This is a hallmark of malignant hyperthermia (MH), resulting from uncontrolled calcium release in muscle cells leading to increased metabolism and CO2 production. It is not typical of latex allergy or hypovolemic shock. Neither condition causes increased carbon dioxide retention from muscle metabolism.
Tachycardia: Elevated heart rate is common in MH due to hypermetabolic state, in latex allergy as part of anaphylaxis response, and in hypovolemic shock as a compensatory mechanism for decreased circulating volume.
Wheezing: Wheezing reflects bronchospasm, a common feature of latex allergy/anaphylaxis, but is not a symptom of MH or hypovolemic shock.
Urticaria (hives): Urticaria is a typical allergic skin reaction seen in latex allergy but is absent in MH and hypovolemic shock.
Muscle rigidity: Muscle rigidity, particularly jaw muscle rigidity (masseter spasm), is a classic sign of MH due to abnormal muscle metabolism. This finding is not associated with latex allergy or hypovolemic shock.

A. Hypertension B. Decreased temperature C. Oliguria D. Bulging anterior fontanel

Correct Answer is C

Explanation

Rationale:

A. Hypertension: Dehydration in infants typically causes hypotension, not hypertension, due to reduced circulating volume and poor perfusion as fluid loss progresses.

B. Decreased temperature: While temperature may fluctuate in dehydration, fever is more common due to infection-related fluid loss. A decreased temperature is not a consistent sign.

C. Oliguria: Decreased urine output is a key indicator of dehydration in infants. The kidneys conserve water during hypovolemia, resulting in oliguria (less than 1 mL/kg/hr).

D. Bulging anterior fontanel: A bulging fontanel usually indicates increased intracranial pressure, not dehydration. Dehydration typically causes a sunken fontanel in infants.

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A nurse in a clinic is caring for a client who is pregnant and asks how she should help her 4-year-old son prepare for the new baby. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

A nurse in an urgent care clinic is caring for an infant who presents with vomiting, diarrhea, and decreased oral intake. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

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