Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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Nurse Lara receives a phone call from her friend, who is also a nurse, at the emergency department because four patients arrived all at the same time. Which of the following patients need to be evaluated immediately?
  1. An infant who presents with a loud, barking cough without swallowing problems
  2. An infant who presents with a fever of 102°F for the last two hours
  3. An infant who has had green, watery-type stools for the last twenty-four hours
  4. An infant who has a low blood pressure, a pulse rate of 60 bpm, and petechia on face and trunk
Explanation
Answer - D - A patient that needs to be evaluated immediately is an infant who has a low blood pressure, a pulse rate of 60 bpm, and petechia on face and trunk. Low blood pressure is a circulatory concern in this patient. Moreover, the patient is bradycardic and in a state of impending circulatory collapse.
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