A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?

Decreased hematocrit

Increased respiratory rate

Decreased heart rate

Increased platelet count

Answer and Explanation

The Correct Answer is B

A. Decreased hematocrit: Hematocrit usually increases in dehydration due to the concentration of red blood cells in a smaller volume of plasma.

B. Increased respiratory rate: Dehydration can lead to tachypnea (increased respiratory rate) as the body attempts to compensate for the decreased blood volume and maintain oxygen delivery.

C. Decreased heart rate: Dehydration typically causes tachycardia (increased heart rate) as the body tries to maintain adequate blood circulation and pressure.

D. Increased platelet count: Dehydration does not typically affect platelet count significantly, though it may concentrate blood components, including platelets, making them appear elevated on a lab test.

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Correct Answer is D

Explanation

A. Diarrhea: Not typically associated with Wilms' tumor, which affects the kidneys and presents primarily with abdominal symptoms.

B. Jaundice: Not a common symptom of Wilms' tumor, which involves the kidneys and usually does not affect liver function.

C. Swollen joints: This is more associated with conditions such as juvenile arthritis, not Wilms' tumor.

D. Abdominal mass: Wilms' tumor often presents as an asymptomatic abdominal mass that may be discovered during routine physical examination or parental bathing.

A. Absent plantar reflexes B. Inwardly turned foot on the affected side C. Asymmetric thigh folds D. Lengthened thigh on the affected side

Correct Answer is C

Explanation

A. Absent plantar reflexes: This is not typically associated with DDH. DDH affects the hip joint's formation, not reflexes.

B. Inwardly turned foot on the affected side: This finding is more indicative of conditions like clubfoot, not DDH.

C. Asymmetric thigh folds: This is a common finding in DDH. The folds may appear uneven due to the displacement of the femoral head.

D. Lengthened thigh on the affected side: In DDH, the thigh on the affected side may actually appear shorter, not longer, due to hip dislocation.

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A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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