The nurse is caring for a child who is suffering from hypotonic hyponatremia with a sodium level below 114 mEq/L. Which of the following symptoms will the nurse anticipate when assessing the child?

Seizures, confusion, and weakness.

Mild tingling and numbness in fingers.

Frequent urination and fluid retention.

Temperature of 96°F orally and drowsiness.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Seizures, confusion, and weakness are symptoms that a nurse should anticipate when assessing a child suffering from hypotonic hyponatremia with a sodium level below 114

mEq/L2. Severe hyponatremia can lead to cerebral edema, resulting in neurologic symptoms such as seizures and confusion.

Choice B rationale

Mild tingling and numbness in fingers are not typically associated with hyponatremia. These symptoms are more commonly associated with conditions affecting the nervous system or with electrolyte imbalances such as hypocalcemia.

Choice C rationale

Frequent urination and fluid retention are not typical symptoms of hyponatremia. They are more commonly associated with conditions such as kidney disease or heart failure.

Choice D rationale

A temperature of 96°F orally and drowsiness are not specific symptoms of hyponatremia. While drowsiness can occur with severe hyponatremia due to cerebral edema, a low body temperature is not typically associated with this condition.

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Correct Answer is A

Explanation

Choice A rationale

By 9 months, most babies have developed the fine motor skills necessary to pick up small objects, like crackers, with their thumb and forefinger. This is known as the pincer grasp. If a 9- month-old child is unable to do this, it could be a sign of a developmental delay.

Choice B rationale

It’s normal for babies at this age to have a short attention span. They often play with a toy for only a few minutes before moving on to something else. Therefore, this behavior is not typically a cause for concern.

Choice C rationale

The ability to crawl on all fours supported on hands and knees is a typical developmental milestone for a 9-month-old child. Therefore, this behavior is expected and does not indicate a developmental delay.

Choice D rationale

While some 9-month-old babies may be able to pull themselves to a standing position, not all babies develop this skill at the same time. Therefore, the inability to do this is not necessarily a cause for concern.

A. Pain needs to be managed, as children will not eat or drink when in pain and can quickly become dehydrated. B. Report mild ear pain or bad breath after surgery. C. Your child may eat soft foods, no crunchy foods for the first few days. D. Your child will form scabs on their tonsils as they heal, there is no need to monitor them during this healing period.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Pain management is crucial after a tonsillectomy. Pain can prevent children from eating or drinking, leading to dehydration. Therefore, ensuring that the child’s pain is well managed is an important part of post-operative care.

Choice B rationale

Mild ear pain or bad breath after surgery can be signs of complications such as infection. Therefore, parents should be instructed to report these symptoms if they occur.

Choice C rationale

After a tonsillectomy, the throat is often sore and swollen. Eating soft foods can help prevent further irritation or injury to the throat. Crunchy foods could scratch the healing throat and cause discomfort.

Choice D rationale

While it’s true that scabs will form on the tonsils as they heal, it’s important to monitor them. If a scab dislodges too early, it can cause bleeding. Therefore, this statement is not entirely accurate and should not be included in the discharge instructions.

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The nurse is caring for a child who is suffering from hypotonic hyponatremia with a sodium level below 114 mEq/L. Which of the following symptoms will the nurse anticipate when assessing the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 9-month-old child.The nurse assesses the baby and finds all of the following data.Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?

Correct Answer is A

Explanation

What instructions should the nurse include in the post-operative discharge instructions for a 6-year-old who just had a tonsillectomy? (Select All That Apply)

Correct Answer is ["A","B","C"]

Explanation

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