The nurse is caring for a special-needs infant. Which intervention will be most important in helping the child reach her maximum developmental potential?

The nurse is administering a new antibiotic as ordered. The child vomits the dose after 15 minutes. What should the nurse do next?

The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would be the most highly suspicious of transposition?

When evaluating the hemogram of an 8-month-old infant, the nurse understands that which value needs additional follow up?

Case Study History & Physical: From the ER: 12-year-old male who was directed admitted to the pediatric unit from the physician’s office for a 48-hour history of nonproductive cough, fever, and a decreased appetite and decreased fluid intake. PMH: No past medical history. Immunizations up to date with exception of influenza. Allergy: PCN Ht. 4’11” (150cm), Wt. 90 lbs. (40.8 Kg) BMI 18.2 Provider Admission Orders: Admit to pediatric floor with possible pneumonia VS every 4 hours Oxygen 2-4L/NC to maintain sats >94% Continuous pulse ox Regular diet as tolerated Up ad lib Intake and output Daily weights Nebulizer treatments with albuterol 2 mg PRN every 4 hours Antibiotic: ceftriaxone 200 mg IV every 24 hours acetaminophen 650 mg PO PRN every 4 hours for temp >101.5 methylprednisolone 40 mg IV every 6 hours IVF D5 1.2 NS at 100 ml/hr Incentive spirometer at bedside, encourage use of 10x/hour Chest X-ray on admission Sputum culture on admission Admission Note: 1000: Patient admitted to floor. Alert and oriented x3. Child is irritable. Child states slightly short of breath. Crackles auscultated bilateral posterior bases. No use of accessory muscles for breathing. Temperature: 102.3 F (38.5); Pulse 100; Respiratory Rate 26; B/P 130/86; Oxygen Saturation is 92%; continuous pulse oximetry in place. HOB elevated. Mother states child has not voided since last night. Skin turgor is poor; mucous membranes dry; face flushed. Incentive spirometer at bedside. A patient is going to be discharged with nebulizer treatments with albuterol. The nurse is providing parents with education concerning proper use of a nebulizer. What information should be included? Select all that apply. 

The nurse is caring for a client diagnosed with chronic alcohol misuse disorder. The nurse correlates the client’s medical history to which laboratory result? 

A clinic nurse is reviewing the health record of a client who is being evaluated for Graves disease. The nurse should identify that which of the following laboratory results is an expected finding?

The nurse is caring for a client who has malnutrition. What is the first thing the nurse will do before administering peripheral parenteral nutrition (PPN)?

A nurse is caring for a client diagnosed with syndrome of inappropriate antidiuretic hormone. Which findings can the nurse expect to find upon assessment? Select all that apply. 

A client is diagnosed with a sliding hiatal hernia and gastroesophageal reflux disease. Which medication will the nurse anticipate being prescribed to decrease gastric acid production?