A nurse is assisting in the care of a preschool aged child in the emergency department.
Complete the following sentence by using the list of options.
The nurse should anticipate a provider prescription for an
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Correct answers: IV fluid bolus and electrolyte replacement
IV fluid bolus: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine, tachycardia).
Electrolyte replacement: The child has hypokalemia (K = 3.2 mEq/L), which needs correction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.
Correct Answer is B
Explanation
A. Polyuria: Nephrotic syndrome typically causes oliguria, not polyuria.
B. Periorbital edema: Fluid retention due to hypoalbuminemia commonly manifests as periorbital edema, especially in the morning.
C. Orange-tinged urine. This is not a characteristic of nephrotic syndrome. Urine may appear foamy due to proteinuria.
D. Hypertension: While hypertension can occur in some renal disorders, it is not a primary feature of nephrotic syndrome, which is characterized by edema, hypoalbuminemia, and proteinuria.
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