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?

The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents. Which of the following responses indicates a need for further teaching?

A patient that came in with decreased fetal movement.  The doctor ordered a biophysical profile to assess fetal well being. The nurse knows that the biophysical profile consist of several components. Select all the components:

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

Which interventions decrease cardiac demands in an infant with congestive heart failure (CHF)? Select all that apply.

The nurse is caring for a 7-year old girl who is undergoing a stem-cell transplant. Which of the following is a posttransplant intervention.

Case Study Question 5 of 6 A 2-year-old female is brought to the Emergency Department by her mother with a 2-day history of fever, vomiting, and diarrhea.   Nurses’ Notes   0800: 2-year-old female brought to Emergency Department by her mother. Client has a 2-day history of fever, vomiting, and diarrhea. Mother reports client has had “multiple” episodes of liquid stool per day (5 to 6 times per day), decreased oral intake, and multiple emesis. Mother states, “She can’t keep much down. She has been throwing up everything.” Client is alert but irritable. She was initially crying but making very few tears. Client weighs 12 kg (26.4 pounds). Mother reports client has a diaper rash. Mother reports changing diaper only when client has diarrhea but has not had any diapers since yesterday that were only urine.   0815: Assessment of client shows skin turgor with tenting, eyes are slightly sunken, lips are pale and dry, hyperactive bowel sounds, delayed capillary refill.   0830: Medicated with Acetaminophen. Attempting oral rehydration.     Vital Signs   Time 0815 Temp 39.3°C/102.7°F temporal HR 142 RR 38 B/P 88/52 Pulse oximeter 96%   Orders   Category Orders Nursing Oral rehydration with standard oral rehydration solution: 75 mL/kg over 4 hours Monitor intake and output Medications Acetaminophen 15 mg/kg PO every 6 hours PRN for fever >100.5F (38.1C) Monitoring Obtain stool culture if stool is available. Obtain vital signs every 2 hours     Question 5: The nurse receives orders. What should the nurse teach the client’s parents about the treatment plan? Select all that apply.

  A 2-day-old infant was just diagnosed with aortic stenosis. What is the most likely nursing assessment finding?

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.