The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?

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Question 1 of 5

The nurse is caring for a client who was successfully resuscitated from a pulseless dysrhythmia. Which of the following assessments is critical for the nurse to include in the plan of care?

Correct Answer: A

Rationale: Hourly urine output is critical post-resuscitation from pulseless dysrhythmia. It monitors renal perfusion and cardiac output, reflecting hemodynamic stability after cardiac arrest, per critical care guidelines. White blood count assesses infection but isn't immediate, glucose is less urgent unless diabetic, and temperature detects fever but not organ function. A directly evaluates resuscitation success, detecting complications like acute kidney injury early.

Question 2 of 5

While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?

Correct Answer: B

Rationale: Poor body image is most often associated with adolescent obesity, per pediatric psychology. It stems from societal stigma and self-esteem issues. Promiscuity , dropout , and drugs may occur but aren't primary. B guides holistic care planning.

Question 3 of 5

While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?

Correct Answer: A

Rationale: Respiratory rate of 42 requires immediate attention in croup. Tachypnea signals airway obstruction, per pediatric emergency standards. Lethargy is concerning but secondary, bradycardia isn't typical, and secretions are expected. A prioritizes airway management.

Question 4 of 5

A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?

Correct Answer: D

Rationale: Mechanical ventilation for 2 weeks is most consistent with bronchopulmonary dysplasia. Prolonged ventilation damages premature lungs, per neonatology. Growth retardation , meconium , and phototherapy are unrelated. D matches the etiology.

Question 5 of 5

A mother telephones the clinic and says 'I am worried because my breast-fed 1 month-old infant has soft, yellow stools after each feeding.' The nurse's best response would be which of these?

Correct Answer: A

Rationale: This type of stool is normal for breast-fed infants' is best. Soft, yellow stools are typical in breast-fed 1-month-olds, per pediatric nutrition. Brown stools apply to formula, supplements or water aren't needed. A reassures accurately.

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