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A nurse is collecting data from a 1-month-old infant who has just undergone a hernia repair. Which of the following findings should the nurse report to the provider?

Axillary temperature 37.4° C (99.3° F)

Apical pulse 155/min

Respiratory rate 40/min

Blood pressure 64/40 mm Hg

Answer and Explanation

The Correct Answer is D

Rationale:

A) An axillary temperature of 37.4°C (99.3°F) is within the normal range for an infant.

B) An apical pulse of 155/min is within the normal range for a 1-month-old infant.

C) A respiratory rate of 40/min is within the normal range for an infant.

D) A blood pressure of 64/40 mm Hg is abnormally low blood pressure for an infant and could indicate shock, dehydration, or infection. The nurse should report this finding to the provider immediately and monitor the infant's vital signs closely.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:

A) Feeling relaxed is not typically an adverse effect of albuterol, but rather a desired bronchodilator effect.

B) Palpitations or a fluttering sensation in the heart can be an adverse effect of albuterol due to its stimulant properties on the cardiovascular system.

C) Forgetfulness is not a common adverse effect of albuterol.

D) Constipation is not a common adverse effect of albuterol.

A. A B. B C. C

Correct Answer is {"xRanges":[106.765625,146.765625],"yRanges":[220.609375,260.609375]}

Explanation

A. This region of the chest is expected to be resonant on percussion because of the air in the lung.
B. The right upper quadrant of the abdomen is usually dull on percussion because of the underlying liver.
C. This site is tympanic because of the gas in the intestines.

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A nurse is collecting data from a 1-month-old infant who has just undergone a hernia repair. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with care for an adolescent client who has asthma and a new prescription for albuterol by metered-dose inhaler. Which of the following statements by the client indicates that they might be experiencing an adverse effect of albuterol?

Correct Answer is B

Explanation

A nurse is preparing to percuss an adolescent's chest and abdomen. Which of the following areas should the nurse expect to hear a dull sound? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is {"xRanges":[106.765625,146.765625],"yRanges":[220.609375,260.609375]}

Explanation

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