A 3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information the nurse documents that the infant has:

Severe dehydration.

Risk for fluid volume deficit.

Failure to thrive.

Malabsorption syndrome

Answer and Explanation

The Correct Answer is A

A. A weight loss of 10% or more in infants within a short period is indicative of severe dehydration. The significant weight loss from 5 kg to 4.3 kg confirms this diagnosis.

B. The risk for fluid volume deficit would be noted if there were signs of potential dehydration, but in this case, the infant has already lost a significant amount of weight, confirming severe dehydration.

C. Failure to thrive is a diagnosis related to insufficient weight gain over time, rather than acute weight loss due to dehydration.

D. Malabsorption syndrome could contribute to chronic weight loss, but the acute loss in this case is more likely due to dehydration from diarrhea.

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Correct Answer is B

Explanation

A. Isosorbide dinitrate is a nitrate that helps to dilate blood vessels and reduce the workload on the heart. It is generally safe for clients with asthma.

B. Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.

C. Fluticasone is a corticosteroid commonly used to manage asthma and other respiratory conditions; it is not contraindicated for this client.

D. Captopril is an ACE inhibitor used to treat heart failure and does not pose a risk for clients with asthma.

A. Cooperates in doing simple chores B. Separates easily from primary care giver for short periods of time C. Explains the difference between right and wrong D. Prints letters and numbers

Correct Answer is A

Explanation

A. Toddlers are beginning to cooperate in simple chores and tasks, which aligns with their developmental stage.

B. Toddlers often struggle with separation anxiety and do not separate easily from their caregivers.

C. Understanding the difference between right and wrong is a skill that develops later, typically around age 4 or older.

D. Printing letters and numbers is beyond the developmental capabilities of a toddler and is expected later in early childhood.

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A 3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information the nurse documents that the infant has:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

Correct Answer is B

Explanation

A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of the following developmental tasks should the nurse include as expected of a toddler?

Correct Answer is A

Explanation

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