A nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findings should the nurse report to the provider?

Heart rate 148/min

Potassium 3.9 mEq/L

Respiratory rate 22/min

Sodium 142 mEq/L

Answer and Explanation

The Correct Answer is A

A. Heart rate 148/min – Correct. A heart rate of 148/min in a 3-year-old is elevated (tachycardia) and may indicate worsening dehydration or shock.

B. Potassium 3.9 mEq/L – Incorrect. This potassium level is within the normal range (3.5–5.0 mEq/L).

C. Respiratory rate 22/min – Incorrect. This is within the expected range for a 3-year-old.

D. Sodium 142 mEq/L – Incorrect. This sodium level is within the normal range (135–145 mEq/L).

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Correct Answer is B

Explanation

A. "During this test, I must not eat or drink anything." – Incorrect. There are no dietary restrictions before a nonstress test (NST). In fact, eating may stimulate fetal movement.

B. "During this test, I will push a button if my baby moves." – Correct. The client is asked to press a button when fetal movement is felt to correlate with fetal heart rate accelerations.

C. "I will get oxytocin during this test." – Incorrect. Oxytocin is used in a contraction stress test (CST), not an NST.

D. "This test will tell me if my baby has a genetic problem." – Incorrect. The NST evaluates fetal well-being and oxygenation, not genetic conditions.

A. Fried chicken B. Tomato soup C. Hot cocoa D. Bran cereal

Correct Answer is D

Explanation

A. Fried chicken – High-fat foods like fried chicken relax the lower esophageal sphincter (LES), worsening GERD symptoms.

B. Tomato soup – Acidic foods like tomatoes can irritate the esophagus and should be avoided.

C. Hot cocoa – Chocolate and caffeine-containing drinks relax the LES and increase acid production, worsening GERD.

D. Bran cereal – This is a good choice because high-fiber foods promote digestion and help reduce acid reflux.

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A nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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