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 C
Explanation
A. While staying with the child until they fall asleep might provide immediate comfort, it might not address the underlying fear of monsters and might create a dependency on the parent's presence.
B. Dismissing the child's fear by stating that monsters are not real might invalidate the child's feelings and not effectively address the fear.
C. Using a night light can provide a sense of security and diminish the fear of monsters by illuminating the room, making it less scary for the child.
D. Allowing the child to sleep in the parent's bed might temporarily alleviate fear but might not address the fear of monsters in the long run and could create sleep dependency.
Correct Answer is C
Explanation
A. Redirecting the adolescent to discuss with parents when they return might avoid the conversation, dismissing their concerns.
B. Referring to the doctor about prognosis might not address the immediate emotional needs of the adolescent.
C. Encouraging the adolescent to express their feelings allows the nurse to understand their concerns and provide appropriate support.
D. Encouraging the adolescent to just focus on getting better might dismiss their emotional distress and fear about their prognosis.
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