A nurse in the emergency department is caring for a toddler.

Exhibits
The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.

Heart rate

Respiratory rate

Urine output

Mucous membranes

Abdominal examination

Vomiting frequency

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

Heart rate: Not changed

No specific mention of heart rate changes, so it remains unchanged.

Respiratory rate: Not changed

Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.

Urine output: Improved

Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.

Mucous membranes: Improved

At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.

Abdominal examination: Not changed

The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.

Vomiting frequency: Improved

Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Ishihara plates test for color blindness, not visual acuity.

B. Tracking items assesses eye movement, not visual acuity.

C. Identifying items in a book evaluates near vision but not distance vision, which is the reported problem.

D. The Snellen eye chart is used to assess distance visual acuity, which is appropriate for the child's complaint.

A. Asks who, what, where, and why questions. B. Follows one-step directions C. Recognizes items in a picture book. D. Puts two words together.

Correct Answer is D

Explanation

A. Asking "who, what, where, and why" questions typically occurs around age 3 to 4 years.

B. Following one-step directions is typically seen earlier, around 12 to 15 months.

C. Recognizing items in a picture book is more characteristic of a 12-month-old child.

D. By 18 months, toddlers often begin to combine two words, such as "want cookie" or "go outside."

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in the emergency department is caring for a toddler. Exhibits The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child who reports difficulty seeing the chalk board in the front of the classroom. Which of the following tests should the nurse perform?

Correct Answer is D

Explanation

A nurse assessing a toddler who is 18 months of age. Which of the following developmental milestones should the nurse expect the toddler to demonstrate?

Correct Answer is D

Explanation

A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?

A nurse is completing a health history form with a child who is 10 years of age. Which of the following information should the nurse include in the assessment? (Select All that Apply.)

A pediatric nurse is teaching a caregiver about different parenting styles and the effects they could have on children. Which of the following responses by the caregiver indicates an understanding of the teaching?

What is an important nursing consideration when caring for a pediatric client with sensory impairment?

A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

A nurse is creating a plan of care for a child who is 12 years of age and takes acetaminophen occasionally for pain. Which of the following recommendations should the nurse plan to make?

A nurse in the emergency department is caring for a toddler.

Exhibits
The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.