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 A

Explanation

A. Respite care – This is the correct answer. Respite care provides temporary relief to caregivers by offering short-term professional care for the client, allowing the caregiver to rest and prevent burnout.

B. Skilled nursing facility – A skilled nursing facility is for long-term or intensive medical care needs, not temporary relief for a caregiver.

C. Rehabilitation services – Rehabilitation focuses on the client’s recovery, not the caregiver’s need for rest.

D. Assisted living – Assisted living is for clients needing ongoing assistance with daily activities, not temporary relief for a caregiver.

A. "I'll use isopropyl alcohol to clean my hearing aids." B. "I'll replace the batteries every 2 weeks." C. "I'll disconnect the battery when I remove my hearing aids." D. "I'll clean my ear with cotton swabs before I insert my hearing aids."

Correct Answer is C

Explanation

A. Isopropyl alcohol can damage the hearing aid.

B. Battery life varies, and replacement should be based on performance rather than a set timeframe.

C. This is the correct answer. Disconnecting the battery when not in use preserves battery life.

D. Cotton swabs can push wax deeper into the ear canal.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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