The nurse assesses a child and finds the child to have hypotonic muscles, decreased respirations, and to be irritable. Looking at the lab work, the nurse will likely find:
a. hypernatremia and hypochloremia c. hypocalcemia and hypernatremia
b. hypercalcemia and hyperchloremia d. hyponatremia and hypochloremia
D
Feedback
A Incorrect: Looking at the lab work, the nurse will not likely find hypernatremia and hypochloremia. The child's symptoms occur with hypochloremia; therefore, this should be accompanied by hyponatremia.
B Incorrect: Looking at the lab work, the nurse will not likely find hypercalcemia and hyperchloremia. Hypercalcemia and hypochloremia (not hyperchloremia) are manifested by muscle hypotonicity, bradycardia, and weakness and fatigue.
C Incorrect: Looking at the lab work, the nurse will not likely find hypocalcemia and hypernatremia. Hypocalcemia is manifested by neuromuscular irritability, tetany, and laryngospasm. Hypernatremia is characterized by intense thirst, elevated temperature, and dry, sticky mucous membranes.
D Correct: The nurse assesses a child and finds the child to have hypotonic muscles, decreased respirations, and to be irritable. Looking at the lab work, the nurse will likely find hyponatremia and hypochloremia. A child with a decreased chloride level will exhibit these symptoms. Chloride levels usually parallel sodium levels, meaning if the sodium level is decreasing, chloride levels will decrease and vice versa.
You might also like to view...
A journal states on its editorial page, "A query letter is required before article submission to this refereed journal. If a manuscript is requested, both hard copy and an electronic copy will be required After initial acknowledgement of receipt, authors will receive a response from the editor within four months." What does this statement mean? (Select all that apply.)
a. Within four months, the author will be notified whether the article is accepted. b. The author will be notified immediately of the manuscript's acceptance. c. Only the editor reviews manuscripts. d. The journal uses peer review. e. If authors send a manuscript without an initial query, it will be returned. f. If authors send a query letter, they will be requested to send a manuscript. g. If a manuscript is accepted, it will be published within four months. h. No manuscripts are ever accepted.
The nurse suspects that a patient has tonsillitis. What did the nurse assess to make this clinical decision?
Select all that apply. 1. hoarse voice 2. thirst 3. nucal rigidity 4. pain around the ears 5. low-grade fever
The nursing executive team met to review last year's productivity metric to strategize for the upcoming year's metric. The team wants to be certain the productivity metric shows productivity was:
a. high. b. low. c. balanced. d. iterative.
The nurse enters a room and finds a 6-year-old child who is unconscious. After calling for help and before being able to use an automatic external defibrillator, which steps should the nurse take?
Place in correct order. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d, e, f). a. Place on a hard surface. b. Administer 30 chest compressions with two breaths. c. Feel carotid pulse while maintaining head tilt with the other hand. d. Use the head tilt–chin lift maneuver and check for breathing. e. Place heel of one hand on lower half of sternum with other hand on top. f. Give two rescue breaths.