A 4 year-old child is admitted with burns on his legs and lower abdomen. When assessing the child's hydration status, which of the following indicates a less than adequate fluid replacement?

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Question 1 of 5

A 4 year-old child is admitted with burns on his legs and lower abdomen. When assessing the child's hydration status, which of the following indicates a less than adequate fluid replacement?

Correct Answer: B

Rationale: Rising hematocrit (hemoconcentration) and oliguria indicate inadequate fluid resuscitation.

Question 2 of 5

The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: 'We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).' In order to take appropriate action, the nurse must understand that

Correct Answer: D

Rationale: SIDS risk peaks at 2-4 months and drops significantly after 6 months; at 2 years, monitoring is typically unnecessary.

Question 3 of 5

The nurse is assessing a child with suspected lead poisoning. Which of the following assessments is the nurse most likely to find?

Correct Answer: D

Rationale: Lead poisoning often causes neurobehavioral issues like sleep disturbances in children.

Question 4 of 5

Which of these clients would the triage nurse request the provider examine immediately?

Correct Answer: A

Rationale: Wheezing and grunting in an infant indicate respiratory distress, a life-threatening emergency.

Question 5 of 5

A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

Correct Answer: D

Rationale: Assessing English proficiency first determines the need for further communication aids.

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