A nurse is assessing the vital signs for a 10-year old child following a burn injury. Which of the following clinical manifestations indicate early septic shock?

Urinary output 100 mL/hr

Temperature 39.1C (102.4° F)

Blood pressure 130/90 mm Hg

Heart ráte 60/min

Answer and Explanation

The Correct Answer is B

A. A urinary output of 100 mL/hr is within the expected range for a 10-year-old and does not indicate septic shock. In early septic shock, urinary output is often preserved or mildly decreased.

B. An elevated temperature (fever) is a hallmark of early septic shock as the body mounts an inflammatory response to infection. Fever often accompanies early sepsis in pediatric patients.

C. Blood pressure may remain normal or slightly elevated in early septic shock due to compensatory mechanisms. A BP of 130/90 mm Hg is not a defining feature.

D. A heart rate of 60/min is abnormally low for a 10-year-old and could indicate late-stage shock or other complications. In early septic shock, tachycardia (elevated heart rate) is typically observed.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Hypertension is less commonly associated with nephrotic syndrome. Hypotension or normal blood pressure is more common.

B. Facial edema is a hallmark sign of nephrotic syndrome due to fluid retention and protein loss.

C. Smoky brown urine is characteristic of glomerulonephritis, not nephrotic syndrome.

D. Polyuria is more often associated with diabetes or diuretic use, not nephrotic syndrome, where oliguria (low urine output) is common.

A. Offer the infant a pacifier. B. Encourage the parents to rock the infant. C. Administer ibuprofen as needed for pain. D. Position the infant on her abdomen.

Correct Answer is B

Explanation

A. A pacifier should not be offered after cleft lip surgery, as it can put pressure on the surgical site and affect healing.
B. Rocking the infant can be a soothing and comforting action to help the infant recover from surgery. It provides emotional comfort and promotes bonding with the parents.
C. Ibuprofen is generally not recommended for infants under 6 months of age unless prescribed by the provider. Appropriate pain management should be used based on the infant's age and condition.
D. Positioning the infant on her abdomen is not appropriate after cleft lip surgery, as this could place pressure on the surgical area. The infant should be positioned on her back or side to avoid stress on the repair site.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing the vital signs for a 10-year old child following a burn injury. Which of the following clinical manifestations indicate early septic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections. Which of the following actions by the nurse demonstrates atraumatic care?

A nurse is gathering data on a 10-month-old infant. Which of the following findings should be reported to the provider?

A nurse is caring for a 6-year-old client who has nephrotic syndrome. Which of the following adverse effects of corticosteroids should the nurse recognize as having the potential to impact the child's psychosocial development? (Select All that Apply.).

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?

A nurse is providing health promotion teaching to an adolescent. Which of the following is the leading cause of death among this age group?

Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?