Answer to Question 1
B
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A Hypotension is a late sign of all types of shock.
B An early sign of distributive shock is extremities that are warm to the touch. The
child with distributive shock may have hypothermia or hyperthermia.
C Oliguria is a manifestation of hypovolemic shock.
D Cold, clammy skin is a late sign of septic shock, which is a type of distributive
shock.
Answer to Question 2
B
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A Warm liquids are preferable because they help loosen secretions.
B Offering the child fluids that she likes will facilitate oral intake. Warm liquids
help loosen secretions.
C Cool mist humidifiers are preferred to warm mist. Warm mist is a safety concern
and could cause burns if touched by the child.
D Typically parents are not taught to count their children's respirations and report
abnormalities to the physician. Even if this were the case, a respiratory rate of
less than 28 breaths/min is normal for a 3-year-old child. The expected
respiratory rate for a 3-year-old child is 20 to 30 breaths/min.