The nurse is caring for a child admitted with DKA. An insulin drip is ordered. Which type of insulin must be used for an insulin drip?

A child admitted with DKA needs an initial IV bolus of 0.9% normal saline. The order is for 20mL/kg to infuse over 1 hour. The child weighs 35 pounds. How many mL will the nurse infuse? (Round to the nearest whole number and enter just the numerical answer.)

A 22-month old female is brought to the emergency department for 2 days of diarrhea, vomiting and fever. The patient’s mother states that the child was fine 3 days ago, but has since had multiple episodes of vomiting, loose stools and a fever of 101.9° F. The child will not answer questions verbally, only nods her head yes or no.  Select the assessment findings that require follow up by the nurse. (Select all that apply.)

Which action would the nurse consider a priority when noticing that the child who underwent a tonsillectomy is swallowing frequently?

The mother of a 6-year old boy is being taught how to administer growth hormone injections to her son. Which statement by the mother indicates that teaching has been effective regarding the time of day to administer the hormone? 

Which statement made by a parent about intervention for a child’s fever shows the need for further education?

A 7 year old child with sickle cell anemia is admitted from the ER with fever 103.5 F. chest pain, cough, lethargy, and dyspnea. Which nursing interventions are priority? (Select all that apply.)

A preschooler with vomiting and diarrhea lost 0.5 kg of weight since being weighed in the pediatrician’s office prior to admission to the hospital. How much fluid would the nurse calculate that this child has lost? (Enter just the numerical answer.)

Which statement made by a parent about intervention for a child’s fever shows the need for further education?

A 16-year old male presents with increasing pain and swelling in his right scrotum. The right testicle is extremely tender to palpation on examination. A doppler ultrasound demonstrates decreased blood flow. Which of the following is the most appropriate intervention?