A nurse is assessing an infant who has hydrocephalus. Which of the following clinical manifestations should the nurse expect?

A. An adolescent who has iron-deficiency anemia and an Hgb level of 11 g/dL (10 to 15.5 g/dL):

An Hgb level of 11 g/dL in an adolescent with iron-deficiency anemia is within the expected range for someone with this condition. While iron-deficiency anemia requires management, it is not an urgent or critical condition requiring immediate intervention.

B. A school-age child who has diabetes mellitus and an HbA1c of 8% (less than 7%):

An HbA1c level of 8% in a child with diabetes mellitus indicates poor glycemic control and may increase the risk of long-term complications. While it requires attention and adjustment of the treatment plan, it is not an urgent or critical condition requiring immediate intervention.

C. A toddler who has moderate dehydration and an RBC count of 5.6/mm3 (4 to 5.5/mm3):

Moderate dehydration in a toddler is a concerning finding that requires prompt intervention to restore fluid balance and prevent complications. However, the RBC count of 5.6/mm3 is within the normal range and does not indicate an urgent or critical condition.

D. A preschooler who has cystic fibrosis-related diabetes and a WBC count of 15,000/mm3 (5,000 to 10,000/mm3):

A WBC count of 15,000/mm3 in a preschooler with cystic fibrosis-related diabetes may indicate an infection or inflammatory process. Elevated WBC count warrants further assessment and possible intervention to identify and treat the underlying cause, making this the priority.

A. "Honor the child's request if she holds her breath.": This instruction is incorrect and potentially dangerous. Giving in to the child's demands when they hold their breath during a temper tantrum can reinforce the behavior and may lead to more frequent and intense tantrums. It's important for parents to remain calm and not give in to unreasonable demands during tantrums.

B. "Establish a structured daily routine for the child.": This instruction is appropriate. A structured daily routine can help toddlers feel secure and provide predictability, which may reduce the likelihood of tantrums. Consistency in meal times, naptimes, and activities can help toddlers know what to expect and feel more in control of their environment.

C. "Place the child in her room alone until the temper tantrum ends.": While it may be necessary to remove a toddler from a potentially dangerous situation during a tantrum, isolating them in their room alone is not recommended. It's important for parents to stay nearby to ensure the child's safety and to provide comfort and support as needed.

D. "Comfort the child during the temper tantrum.": Providing comfort and reassurance to a child during a temper tantrum can be helpful, as long as it's done in a calm and supportive manner. Reassuring words and gentle touch can help the child feel secure and may help to de-escalate the tantrum more quickly.