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 B

Explanation

Choice A rationale

Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.

Choice B rationale

Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.

Choice C rationale

Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.

Choice D rationale

Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.

Correct Answer is ["3"]

Explanation

Step 1 is: Identify the prescribed dose, which is 0.3 mg.

Step 2 is: Identify the available amount, which is 0.1 mg per tablet.

Step 3 is: Divide the prescribed dose by the available amount to find the number of tablets. So,

0.3 mg ÷ 0.1 mg/tablet equals 3 tablets. Therefore, the nurse should administer 3 tablets per dose.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is providing care to a group of patients with chronic illnesses. Who among the following patients should the nurse identify as being at the highest risk for sepsis?

Correct Answer is B

Explanation

A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The available amount is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose?

Correct Answer is ["3"]

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?