Exhibits

What factors are important in determining level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Oxygen concentration of the ambient air

Temperature of water

The weight of the child

The amount of time the child was submerged

Whether or not anyone witnessed the fall into the pool

Answer and Explanation

Correct Answer : A,B,D

A. Oxygen Concentration of the Ambient Air
The oxygen concentration of the ambient air affects how much oxygen the child could have been exposed to once retrieved from the pool. If the child was submerged in water, the ability to access oxygen from the environment was compromised, which contributes to the level of hypoxemia experienced. Ambient air oxygen concentration is a crucial factor in determining how long it might take for hypoxemia to develop or improve after submersion.
B. Temperature of Water
The temperature of the water affects the child’s physiology during submersion. Cold water can lead to a more rapid decrease in core body temperature and can influence the child’s respiratory and cardiovascular responses, potentially affecting the degree of hypoxemia.
C. The Weight of the Child
The weight of the child does not significantly impact the level of hypoxemia experienced during submersion. While it might influence the child’s ability to stay afloat or the rescue process, it does not directly affect hypoxemia levels.
D. The Amount of Time the Child Was Submerged
The duration of submersion is a critical factor in determining the level of hypoxemia. Longer submersion times result in more significant oxygen deprivation and a greater degree of hypoxemia, which can impact the severity of respiratory and cardiac complications.
E. Whether or Not Anyone Witnessed the Fall into the Pool
While witnessing the fall might be relevant for understanding the context of the incident, it does not directly affect the level of hypoxemia experienced during the submersion. The key factors are related to the conditions and duration of the submersion itself

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Correct Answer is ["1.5"]

Explanation

- Determine the total milligrams needed: The prescription is for 600 mg.

- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.

- Calculate the volume required to provide the prescribed dose: Divide the total milligrams needed by the concentration.

- Perform the calculation: 600/400= 1.5

Answer = 1.5 ml

A. Heart rate 99 beats/minute B. Dark, yellow urine C. Urinated 30 mL D. Temperature 101° F (38.3° C)

Correct Answer is ["A","B","C"]

Explanation

A. Heart rate 99 beats/minute
A heart rate of 99 beats/minute is slightly elevated. Tachycardia can be a sign of fluid volume deficit, as the body compensates for decreased blood volume and pressure by increasing heart rate to maintain adequate perfusion.
B. Dark, yellow urine
Dark yellow urine indicates concentrated urine, which is a sign of dehydration or fluid volume deficit. Proper hydration would typically result in light yellow urine.
C. Urinated 30 mL
A urine output of 30 mL is low, especially for an adult in a 1-hour period. Low urine output can be a sign of fluid volume deficit, as the kidneys may not be excreting enough urine due to inadequate fluid intake or retention.
D. Temperature 101° F (38.3° C)
An elevated temperature indicates a fever, which is related to the infection (pneumonia) rather than fluid volume status. It does not directly indicate a fluid volume deficit.
E. Client is awake and alert
Being awake and alert indicates that the client’s neurological status is stable and is not indicative of fluid volume deficit. It does not reflect the client’s fluid volume status.
F. Blood pressure 115/71 mm Hg
A blood pressure of 115/71 mm Hg is within normal limits. While fluid volume deficits can affect blood pressure, this finding alone does not indicate a deficit since the blood pressure is stable.

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Exhibits What factors are important in determining level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

Exhibits Following the infusion of sodium chloride, the practical nurse (PN) does a focused assessment and documents the findings. Which three of the following client findings indicate that the client may still have a fluid volume deficit?

Correct Answer is ["A","B","C"]

Explanation

When the practical nurse (PN) prepares to transfer a 12-hour-old newborn from the birthing suite to the nursery, which question is most important for the PN to ask the mother?

An older adult client who was admitted to a long-term care facility yesterday is confused about what day of the week it is. The history does not indicate that the client was confused prior to admission. Which action should the practical nurse (PN) take?

The practical nurse (PN) is assigned to provide care for a client with rheumatoid arthritis who is preparing for discharge. While planning the client's care, the PN should identify which client goal as the most important?

Exhibits The practical nurse (PN) would like to encourage the client to take oral fluids so that the IV fluids can eventually be discontinued. Which three strategies would be most effective in getting a client to consume adequate oral fluids?

The practical nurse (PN) is caring for a hospice client who requests a priest for the "Last Rites." Which should be the next response by the PN?

A client with Parkinson's disease is experiencing decreased postural reflexes, rigidity, retropulsive gait, and shuffling. Which intervention is most important for the practical nurse (PN) to implement?

Exhibits

What factors are important in determining level of hypoxemia that the child may have experienced during the submersion? Select all that apply.