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
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Insomnia is not a typical adverse effect of disulfiram-alcohol interaction.
B. Tinnitus is not commonly associated with disulfiram reactions.
C. This is the correct answer. Disulfiram causes an acetaldehyde accumulation reaction when alcohol is consumed, leading to symptoms such as headache, nausea, vomiting, and flushing.
D. Hypotension, not hypertension, is a more common response due to vasodilation from the reaction.
Correct Answer is D
Explanation
A. Dry mouth is a common side effect but not a sign of serotonin syndrome.
B. Constipation is another possible side effect but is not an emergency.
C. Insomnia can occur but does not indicate serotonin syndrome.
D. This is the correct answer. Excessive sweating (along with agitation, confusion, fever, and muscle rigidity) is a sign of serotonin syndrome, a potentially life-threatening condition.
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