A nurse in the emergency department is caring for a toddler.

Exhibits
The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.

Heart rate

Respiratory rate

Urine output

Mucous membranes

Abdominal examination

Vomiting frequency

Answer and Explanation

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

Heart rate: Not changed

No specific mention of heart rate changes, so it remains unchanged.

Respiratory rate: Not changed

Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.

Urine output: Improved

Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.

Mucous membranes: Improved

At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.

Abdominal examination: Not changed

The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.

Vomiting frequency: Improved

Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A. Guided imagery can help preschoolers manage mild to moderate pain by promoting relaxation and distraction.

B. Engaging in activity may increase discomfort and should be limited during acute pain.

C. Acetaminophen is appropriate for managing mild to moderate pain in preschoolers.

D. A high-protein diet is important for overall healing but does not directly address acute pain.

E. Warm compresses can provide comfort and relieve musculoskeletal discomfort.

F. Opioids are typically reserved for severe pain and not the first-line treatment for preschoolers with mild to moderate pain.

A. Cardiac enzymes B. Blood coagulation tests C. Arterial blood gases D. Complete blood count

Correct Answer is D

Explanation

A. Cardiac enzymes are not typically monitored in relation to nutritional status.

B. Blood coagulation tests are not directly related to general nutrition.

C. Arterial blood gases assess respiratory and metabolic function, not nutrition.

D. A complete blood count (CBC) can help identify nutritional deficiencies, such as anemia due to iron or vitamin deficiencies.

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A nurse in the emergency department is caring for a toddler. Exhibits The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a preschooler who is experiencing acute pain from a recent injury. The child describes the pain as "achy". Which of the following interventions should the nurse recommend? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is creating a nutritional plan of care for a child. Which of the following diagnostic tests should the nurse plan to monitor for the child?

Correct Answer is D

Explanation

A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?

A nurse is assessing the nutritional status of a child using anthropometric evaluations. Which of the following should the nurse include in the assessment? (Select All that Apply.)

A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

A nurse has just received hand-off communication at the start of their shift. After reviewing each client's status, which of the following clients should the nurse see first?

What is an important nursing consideration when caring for a pediatric client with sensory impairment?

A nurse is teaching a newly hired nurse about motor skill development of school-age clients who are 6 to 12 years old. Which of the following statements by the newly hired nurse demonstrates effective teaching?

A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the following statements by the student nurse shows that the teaching has been effective?

A nurse is discussing separation anxiety and attachment with the caregivers of an infant. Which of the following statements should the nurse make?

A nurse in the emergency department is caring for a toddler.

Exhibits
The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.