ATI - Pedi Respiratory Practice Assessment Correct 100%(SCORED A+)

A nurse is obtaining an infant's vital signs. The heart rate is 180/min, and the temperature is 40 C. The father asks the nurse, "Why is my baby's heart beating so fast?" Which of the following is an appropriate response by the nurse? -ANSWER "The fever is causing an increase in your baby's heart rate." MY ANSWER The expected range for the temperature of an infant from birth to 1 year is 36.5° C (97.7° F) to 37.2° C (98.9° F). This infant has a fever. The infant's heart rate will increase as a result of the fever. The expected range for heart rate in an infant 3 months to 2 years old is 80-150/min while awake and 70-120/min while asleep. If the infant is active or has a fever, the heart rate may be as high as 220/min. "This is within the expected range for your baby." The expected range for heart rate in an infant age 3 months to 2 years old is 80-150/min while awake and 70-120/min while asleep. The heart rate is affected by factors such as increased physical activity, crying, and elevated temperature. The metabolic rate increases 10% for every 1° C increase in temperature. The infant's temperature is elevated, and the heart rate is increased due to the increase in metabolic rate. Although this finding is within the expected range for an infant who has an elevated temperature, the option does not address the issue of why the infant's heart rate has increased. In order for the option to be correct, it must address the issue of the question. "As your baby begins to fall asleep, the heart rate will decrease." An infant's heart rate may decrease slightly while asleep. However, this infant's heart rate is higher than expected due to the fever. Once the temperature is controlled, the infant's heart rate should decrease to the expected range. "Your baby's heart is beating fast in an attempt to cool down the body." The infant's heart rate is increased in response to the fever. The expected range for heart rate in an infant age 3 months to 2 years old is 80-150/min while awake and 70-120/min while asleep. A nurse is caring for a 7-year-old client who has a diagnosis of upper respiratory infection and a history of type 1 DM. Which of the following statements by the mother indicates a need for further instruction? "I will report a change in breathing or any signs of confusion." "I will encourage drinking a half a cup of water or sugar-free fluids every 30 minutes." "I will notify the doctor if the temperature is not controlled with acetaminophen." "I will continue to check his blood sugar two times a day." -ANSWER "I will report a change