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

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.

B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.

C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.

D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.

A. If pain lasts more than 5 days, notify the provider B. Verify the dose with the provider before taking C. Avoid use if there is a family history of Long QT syndrome (LOTS) D. This medication can be used for pain relief only

Correct Answer is A

Explanation

A. If pain persists for more than 5 days, it may indicate an underlying condition that requires medical attention.

B. Acetaminophen dosing guidelines for children are well established and do not require verification for occasional use unless there is a specific concern.

C. Long QT syndrome is not a contraindication for acetaminophen use.

D. Acetaminophen can be used for both pain and fever relief.

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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 caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A nurse is creating a plan of care for a child who is 3 years of age. Which of the following developmental milestones will help guide the nurse in developing a plan of care?

A nurse is discussing separation anxiety and attachment with the caregivers of an infant. Which of the following statements should the nurse make?

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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?

A nurse is teaching a newly licensed nurse about assessing children's blood pressure. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?

A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the following statements by the student nurse shows that the teaching has been effective?

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.