The 11-month-old, previously healthy infant is brought to the emergency department after becoming increasingly lethargic over the past 24 hours. The infant’s vital signs are notable for a temperature of 40.8°C, heart rate 138 bpm, respiratory rate 31, and blood pressure 84/50 mmHg. Upon assessment, the nurse notes sensitivity to light and sound, bulging anterior fontanelle, and significant resistance to turning the head. Place the interventions in the correct order.
- NCLEX Practice
- Categories
- Physiological Adaptation
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- Category: Physiological Adaptation
- Difficulty: 8
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Additional Physiological Adaptation Questions
- Question Type: Put in Order
- Difficulty: 10
An 82-year-old client with a history of hypertension becomes acutely confused and complains of a severe headache. The nurse is concerned the client is having a stroke. Which action does the nurse take first?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
The patient with shingles presents to the clinic for reassessment following treatment. The nurse asks the patient to perform which action to assess for complications of the condition?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
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