The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

Hyperthermia

Respiratory distress

Bradycardia

Seizure

Answer and Explanation

The Correct Answer is D

a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.

b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.

c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.

d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.

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Correct Answer is A

Explanation

a) A 3-week-old infant born at 35 weeks’ gestation with gastroenteritis: Premature infants are more vulnerable to complications, and gastroenteritis can lead to dehydration, which can be critical for a newborn.

b) A term 2-week-old infant of American Indian descent with an upper respiratory infection: While concerning, it might not pose an immediate threat of mortality compared to conditions affecting premature infants.

c) A post-term 4-week-old infant, Black descent, with moderate emesis after feeding: Vomiting after feeding might indicate various issues but might not immediately suggest a high risk of mortality.

d) A 1-week:old infant born at 40 weeks’ gestation with symptoms of cough: Cough alone might not indicate severe conditions in a newborn.

A. 90 mL’s B. 300 mL’s C. 30 mL’s D. 150 mL’s

Correct Answer is C

Explanation

a) 90 mL’s: This amount is larger than the typical stomach capacity of a newborn at the end of the first month.

b) 300 mL’s: Exceeds the normal stomach capacity of a newborn at the end of the first month.

c) 30 mL’s: By the end of the first month, a newborn's stomach capacity is around 30 mL's, gradually increasing over time.

d) 150 mL’s: This amount is larger than the normal stomach capacity of a newborn at the end of the first month.

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The nurse is planning care for a child with hyponatremia. The nurse is giving report on this child to a new RN on the pediatric unit and cautions the new nurse to be especially alert for which condition in the child?

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Naxlex Comprehensive Predictor Exams

The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

Correct Answer is A

Explanation

A newborn has a stomach capacity of how many mL’s by the end of the first month?

Correct Answer is C

Explanation

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