Regarding swaddling, one of the following is correct

Correct Answer: B

Rationale: Swaddling is most effective when practiced before a crying episode as it can prevent the start of crying by providing comfort and security.

Correct Answer: D

Rationale: In hyperkalemia, cardiac arrhythmias are the most critical and life-threatening manifestation that requires immediate intervention. Hyperkalemia can lead to dangerous heart rhythm disturbances, potentially resulting in cardiac arrest. Prompt treatment is essential to stabilize the heart rhythm and prevent life-threatening complications.

Correct Answer: A

Rationale: When a child is receiving prednisone to treat nephrotic syndrome, it is crucial to assess for infection. Prednisone suppresses the immune system, making the child more vulnerable to infections. Since steroids can mask typical signs of infection, it is essential to look for subtle symptoms to ensure prompt treatment and prevent complications.

Correct Answer: A

Rationale: To accurately track weight changes, the child should be weighed daily on the same scale and ideally before feeding.

Correct Answer: C

Rationale: The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid, regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic acidosis, or severe anemia.