A nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findings should the nurse report to the provider?

Heart rate 148/min

Potassium 3.9 mEq/L

Respiratory rate 22/min

Sodium 142 mEq/L

Answer and Explanation

The Correct Answer is A

A. Heart rate 148/min – Correct. A heart rate of 148/min in a 3-year-old is elevated (tachycardia) and may indicate worsening dehydration or shock.

B. Potassium 3.9 mEq/L – Incorrect. This potassium level is within the normal range (3.5–5.0 mEq/L).

C. Respiratory rate 22/min – Incorrect. This is within the expected range for a 3-year-old.

D. Sodium 142 mEq/L – Incorrect. This sodium level is within the normal range (135–145 mEq/L).

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Correct Answer is B

Explanation

A. ECT does not typically affect a client’s voice.

B. This is the correct answer. A common side effect of ECT is short-term confusion and memory impairment, which can last for minutes to a few hours after the procedure.

C. Most clients wake up within a few minutes, not 30 minutes.

D. Clients do not typically feel pulsations in the neck during the procedure since they are under anesthesia and muscle relaxants are used.

A. "Picture taking the stress you feel and pushing it down and out of your feet." B. "Focus on a pleasant memory and express your emotions in writing." C. "Think about a positive outcome to a stressful situation." D. "Tighten a muscle group, then release the tension and move to the next one."

Correct Answer is D

Explanation

A. This describes guided imagery, not progressive muscle relaxation.

B. Writing about emotions is a therapeutic strategy but not progressive relaxation.

C. Thinking about positive outcomes is a cognitive technique, not a physical relaxation method.

D. This is the correct answer. Progressive relaxation involves systematically tightening and relaxing muscle groups, which helps reduce stress and anxiety.

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A nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findings should the nurse report to the provider?

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