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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Frequent swallowing may indicate bleeding from the surgical site, as the child may swallow blood.
B. Mouth breathing may occur for various reasons after a tonsillectomy but is not specific to hemorrhage.
C. Reports of pain are common after surgery but are not specific to hemorrhage.
D. Reports of thirst are also common postoperatively and not specific to hemorrhage.
Correct Answer is C
Explanation
A. Tetralogy of Fallot is characterized by decreased pulmonary blood flow.
B. Tricuspid atresia is characterized by decreased blood flow to the lungs.
C. Patent ductus arteriosus allows increased blood flow from the aorta to the pulmonary artery, leading to increased pulmonary blood flow.
D. Coarctation of the aorta involves narrowing of the aorta, leading to decreased systemic blood flow.
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