Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for postoperative pain in a school-age child. Assessment data include parents report decreased wet diapers and lethargy over 24 hours. Which finding requires the nurse to intervene immediately?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Answer and explanation
Correct answer
A. 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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