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: 4
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Additional Physiological Adaptation Questions
- Question Type: Put in Order
- Difficulty: 10
The labor and delivery nurse is assigned to a 25-year-old G2P1 female with a viable intrauterine pregnancy at 40-weeks estimated gestational age. After the patient had PROM, dark green fluid was noted, which was not malodorous. Which of the following terms does the nurse use to document this finding?
- Question Type: Multiple Choice - Select One
- Difficulty: 2
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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