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: 7
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Additional Physiological Adaptation Questions
- Question Type: Put in Order
- Difficulty: 10
The patient in the emergency department begins projectile vomiting. Which intervention is most important?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
The nurse finds a 70-year-old client admitted with heart failure, unresponsive with agonal gasping respirations. Which action does the nurse take first?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
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