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
The nurse is assigned to a patient with acute lymphocytic leukemia (ALL) about to undergo his first round of chemotherapy. The patient’s WBC is 120,000/uL and his LDH is 3 times the upper limit of normal. Which intervention is most important?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
The patient with narrow QRS complex supraventricular tachycardia is found to be hemodynamically stable. Which initial intervention is appropriate?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
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