Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for bronchiolitis with respiratory distress. Assessment data include parents report decreased wet diapers and lethargy over 24 hours. Which finding requires the nurse to intervene immediately?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
D. The new finding that parents report decreased wet diapers and lethargy over 24 hours.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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