A nurse is caring for a toddler.
The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?

Monitor the toddler’s vital signs closely.

Administer supplemental oxygen.

Notify the healthcare provider.

Reassess the toddler in 15 minutes.

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

If there is a delay in receiving the new TPN solution from the pharmacy, the nurse should infuse Dextrose 10% in water until the next TPN solution is available. This is because stopping TPN abruptly can cause hypoglycemia. Dextrose 10% in water can provide a source of glucose to prevent hypoglycemia.

A. Insulin glargine lasts for 3 to 6 hours. B. Insulin glargine lasts for 18 to 24 hours. C. Insulin glargine lasts for 16 to 24 hours. D. Insulin glargine lasts for 6 to 10 hours.

Correct Answer is ["B","C"]

Explanation

Choice A rationale

Insulin glargine does not last for 3 to 6 hours. It is a long-acting insulin that has a duration of action up to 24 hours.

Choice B rationale

This is correct. Insulin glargine lasts for 18 to 24 hours. It is a long-acting insulin that provides a base level of insulin that keeps working for 24 hours or longer.

Choice C rationale

This is also correct. Insulin glargine lasts for 16 to 24 hours. It is a long-acting insulin that provides a base level of insulin that keeps working for 24 hours or longer.

Choice D rationale

Insulin glargine does not last for 6 to 10 hours. It is a long-acting insulin that has a duration of action up to 24 hours.

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A nurse is caring for a toddler.The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available?

Correct Answer is D

Explanation

A nurse is educating a patient with diabetes who has been prescribed insulin glargine. What information should the nurse provide about this type of insulin?

Correct Answer is ["B","C"]

Explanation

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A nurse is caring for a toddler.
The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?