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: 5
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Additional Physiological Adaptation Questions
- Question Type: Put in Order
- Difficulty: 10
The patient with a history of colon cancer presents to the emergency department reporting significant abdominal pain, bloating, and vomiting. Which question to garner more information about the emesis is most important?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
The patient presents with a blood pressure of 135/95 mm Hg and appears jaundiced. She has a history of alcoholism, cirrhosis, and untreated hepatitis C. While the oncoming nurse is receiving report, the patient begins vomiting a large amount of blood. The nurse knows which to be the most likely cause of the patient’s hematemesis?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
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