A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider?

Drainage from the chest tube of 22 mL in the last hour

Urine output of 15 mL in the last 2 hr

Skin temperature 36° C (96.8° F)

Pedal and posterior tibial pulses of 2+

Answer and Explanation

The Correct Answer is B

Rationale:

A. This amount of drainage may be expected postoperatively, and it is not indicative of a significant issue.

B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler.

C. While slightly lower than the typical body temperature, it is not necessarily abnormal, particularly in a postoperative setting.

D. Pulses of 2+ indicate adequate perfusion and are not concerning.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:

A. This statement describes peritoneal dialysis, not hemodialysis.

B. Hemodialysis does not use an electrolyte solution to clean the blood.

C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids.

D. Hemodialysis involves intermittent filtration of the blood, not continuous filtration.

A. Check the pH of the gastric secretions. B. Set the administration rate on the feeding pump. C. Flush the tube with water. D. Attach the feeding bag tubing to the end of the NG tube.

Correct Answer is A

Explanation

Rationale:

A. This is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding.

B. This should only be done after confirming proper tube placement.

C. Flushing the tube is necessary, but it should occur after confirming placement.

D. This should occur after confirming proper tube placement.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?

A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply.

A nurse in the emergency department is preparing to discharge a 3-year- old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.Which of the following recommendations should the nurse make?

A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?

A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?