A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is

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Question 1 of 5

A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is

Correct Answer: C

Rationale: Normal saline is the initial therapy for hypovolemic shock due to diarrhea, aiming to restore circulating volume and improve perfusion.

Question 2 of 5

Sara, age 4 months, was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was term. The nurse should explain that:

Correct Answer: A

Rationale: Infant temperament has a strong biologic component and is part of their unique characteristics. Sara's behavior is likely influenced by her individual temperament, not by failure to bond or painful experiences in the neonatal period.

Question 3 of 5

Heimlich maneuver is used for which of the following purposes

Correct Answer: D

Rationale: The Heimlich maneuver is performed to expel a foreign body from the airway in choking individuals. In unconscious patients, abdominal thrusts are avoided in favor of back blows and chest compressions.

Question 4 of 5

One of the following can cause heart failure in a full-term neonate:

Correct Answer: D

Rationale: Severe coarctation leads to critical left ventricular outflow obstruction, causing neonatal heart failure.

Question 5 of 5

What is a major challenge faced by developing countries?

Correct Answer: A

Rationale: Many developing countries struggle with providing access to clean water, which affects public health and economic productivity.

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