A child in compensated shock will which symptoms?
Somnolence, hypotension, oliguria
Irritability, tachypnea, hypotension
Irritability, capillary refill time > 2 sec, bradycardia
Irritability, tachycardia, poor peripheral perfusion
The Correct Answer is D
A. Somnolence, hypotension, and oliguria are signs of decompensated shock, not compensated.
B. While irritability and tachypnea are early signs, hypotension indicates progression to decompensated shock.
C. Capillary refill time > 2 sec may occur in shock, but bradycardia is a late and ominous sign in pediatrics.
D. Irritability, tachycardia, and poor peripheral perfusion (e.g., delayed capillary refill, cool extremities) are hallmark signs of compensated shock, where the body is still maintaining blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Feeding frequency should be individualized and may need to be more frequent with smaller volumes.
B. Larger volumes increase energy expenditure and fatigue; not recommended.
C. Prolonging feeding times increases fatigue, which can worsen CHF symptoms.
D. Infants with CHF often tire easily; limiting feeding to 30 minutes reduces energy expenditure and prevents fatigue and fluid overload.
Correct Answer is A
Explanation
A. The correct management involves obtaining blood cultures to identify the causative organism, starting high-dose antibiotics for treatment, and assessing for cardiac decompensation as the condition progresses.
B. While CBC and CXR may be ordered, starting aspirin is not a first-line treatment for infective endocarditis.
C. Cyanosis and high-dose steroids are not immediate interventions for infective endocarditis.
D. The first priority is antibiotics and blood cultures, not starting oxygen right away unless the child is hypoxic.
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