41. Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock?

a. Thirst

b. Irritability

c. Apprehension

d. Confusion and somnolence

42. Which occurs in septic shock?

a. Hypothermia

b. Increased cardiac output

c. Vasoconstriction

d. Angioneurotic edema

43. A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While an airway is being established, the nurse should prepare which medication for immediate administration?

a. Diphenhydramine (Benadryl)

b. Dobutamine (Dobutarex)

c. Epinephrine (Adrenalin)

d. Calcium chloride (calcium chloride)

44. Clinical manifestations of toxic shock syndrome include:

a. severe hypertension.

b. subnormal temperature.

c. erythematous macular rash.

d. papular rash over extremities.

45. A preschool child is scheduled for an echocardiogram. Parents ask the nurse whether they can hold the child during the procedure. The nurse should answer with which response?

a. “You will be able to hold your child during the procedure.”

b. “Your child can be active during the procedure, but can’t sit in your lap.”

c. “Your child must lie quietly; sometimes a mild sedative is administered before the procedure.”

d. “The procedure is invasive so your child will be restrained during the echocardiogram.”

46. The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands?

a. Organize nursing activities to allow for uninterrupted sleep.

b. Allow the infant to sleep through feedings during the night.

c. Wait for the infant to cry to show definite signs of hunger.

d. Discourage parents from rocking the infant

47. The nurse is admitting a child with coarctation of the aorta. Which figure depicts this congenital heart defect?

a. c.