A nurse is obtaining vital signs from 2-month-old infant. The infant's heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant's heart is beating so fast. Which of the following responses by the nurse is appropriate
"The fever is causing an increase in your baby's heart rate."
"Your baby's heart is beating fast in an attempt to cool down his body
“This is within the expected range for your baby."
"As your baby begins to fall asleep, his heart rate will decrease.
The Correct Answer is A
A. In the case of a fever, the body's response often includes an increase in heart rate to help distribute heat and manage the fever.
B. While the body might attempt to regulate temperature through various means, the increased heart rate is primarily due to the fever itself.
C. A heart rate of 190/min is higher than normal for a 2-month-old infant and is likely elevated due to the fever.
D. Heart rate tends to decrease during sleep but doesn't explain the elevated heart rate specifically in response to the fever.
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Related Questions
Correct Answer is A
Explanation
A. Understanding the family environment and potential stressors at home is essential to grasp the underlying reasons for the child's behavior.
B. Having the child return the property in front of the class might be a consequence but doesn't address the root cause or prevent future occurrences.
C. Reminding the child daily that stealing is wrong could be part of a solution but might not address the root cause or provide alternative coping strategies.
D. Discussing ways for the child to save face might be helpful but should not be the primary focus when addressing stealing behavior.
Correct Answer is D
Explanation
A) 45 inches - This would be an unusually high growth of 5 inches in one year, which is above the average growth rate for a child of this age.
B) 47 inches - This represents a growth of 7 inches in one year, which is significantly higher than the expected average and is highly unlikely.
C) 41 inches - This indicates a growth of only 1 inch in a year, which is below the average growth rate for a 5-year-old child.
D) 43 inches - This is a growth of 3 inches from the last examination and falls within the normal range of growth for a preschooler, which is approximately 2 to 3 inches per year.
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