Pediatric nursing · practice question
A 2-year-old toddler in the emergency department is being evaluated for family presence during hospitalization. The nurse reviews this trend: urine output decreased and capillary refill increased from 2 to 4 seconds. Which interpretation and action are most appropriate?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
C. Interpret the trend in context, compare it with baseline or benchmarks, and take the safest indicated action.
Why
Trend questions require comparison with baseline, symptoms, risk, and benchmarks. Safe nursing action begins before a preventable event becomes critical.
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