A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

Heart rate of 152 beats per minute

Temperature of 99.5°F (37.5°C)

Respiratory rate of 74 breaths per

Blood pressure of 90/60 mmHg

Answer and Explanation

The Correct Answer is C

A.   An elevated heart rate can be expected in infants with bronchiolitis due to increased work of breathing.
B.   A slight elevation in temperature may be indicative of infection but is not an immediate concern.
C.   A respiratory rate of 74 breaths per minute may indicate respiratory distress and warrants immediate attention.
D.   A blood pressure of 90/60 mmHg is within the normal range for infants and not immediately concerning.

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Correct Answer is C

Explanation

A. Weight loss is not typically associated with heart failure in toddlers; weight gain or failure to thrive may occur.
B. Bradycardia is not typically associated with heart failure; tachycardia may occur due to compensatory mechanisms.

C. Orthopnea, difficulty breathing when lying flat, is a common symptom of heart failure in toddlers and adults.
D. Decreased urine output, rather than increased, is more typical in heart failure due to decreased cardiac output and renal perfusion.

A. Large building blocks B. Hanging crib toys C. Crayons and a coloring book D. Modeling clay

Correct Answer is A

Explanation

A. Large building blocks encourage fine and gross motor skills development, making them suitable for a hospitalized toddler.
B. Hanging crib toys are more appropriate for infants and may not meet the developmental needs of a 12-month-old toddler.
C. Crayons and a coloring book require fine motor skills and may not be suitable for a toddler in a hospital room with contact precautions.
D. Modeling clay may pose infection control risks in a hospital setting with contact precautions and may not be suitable for a hospitalized toddler.

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A nurse is taking vital signs on an infant diagnosed with bronchiolitis. Which of the following findings should the nurse immediately report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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