A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

Infuse normal saline intravenously.

Apply external cooling blanket.

Provide a bottle of electrolyte solution.

Administer an antipyretic rectally.

Answer and Explanation

The Correct Answer is A

A. Infusing normal saline intravenously is crucial as the infant shows signs of dehydration (weak cry, no tears), and intravenous fluids are necessary to restore hydration and electrolyte balance.

B. Applying an external cooling blanket may be necessary to manage fever but does not address the dehydration issue.

C. Providing an electrolyte solution is helpful, but given the infant’s refusal to drink, IV fluids are more immediate and effective.

D. Administering an antipyretic rectally might help manage fever but does not address the dehydration or fluid needs.

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Correct Answer is A

Explanation

A. Guillain-Barre syndrome is a condition that can occur after an upper respiratory infection and is characterized by progressive weakness, numbness, and sometimes difficulty swallowing, which align with the client's symptoms.

B. Mycoplasma pneumonia primarily affects the respiratory system and does not typically cause lower extremity numbness and difficulty swallowing.

C. Cytomegalovirus can cause a range of symptoms but is not specifically associated with lower extremity numbness and difficulty swallowing.

D. Epstein-Barr virus is linked to infectious mononucleosis and does not typically cause lower extremity numbness and difficulty swallowing.

A. Applesauce B. Fortified whole grain cereals. C. Pureed green beans. D. Full fat yogurt. E. Soft dried apricots.

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

Explanation

A. Applesauce, while nutritious, does not provide a significant amount of iron and is not particularly helpful for addressing milk baby anemia.

B. Fortified whole grain cereals are a good source of iron, which helps in treating anemia.

C. Pureed green beans are a good source of iron and other essential nutrients.

D. Full fat yogurt is a nutritious option but is not particularly rich in iron. However, it can be part of a balanced diet for the infant.

E. Soft dried apricots, while a good source of iron, may not be appropriate for an 11-month-old due to choking hazards.

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Body System	Assessment Finding
Neurological	Restless Awake and alert Anxious
Respiratory	Respiratory rate 28 breaths/minute Oxygen Saturation 90% on room air Productive cough
Cardiovascular	Heart rate 101 beats/minute Capillary refill 4 seconds Blood pressure 145/89 mm Hg

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who recently had an upper respiratory infection and now presents to the emergency department with lower extremity numbness and difficulty swallowing. Based on these findings, this client is at greatest risk for which pathophysiological condition?

Correct Answer is A

Explanation

While conducting dietary teaching to the parent of an 11-month-old who was diagnosed with milk baby anemia, which food(s) should the nurse encourage the parent to offer the infant? Select all that apply.

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

Explanation

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