Which of the following children would be in the high risk group for respiratory syncytial virus (RSV).

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 2000 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. The nurse provides education on basic ways to prevent respiratory infections. What measures would the nurse include in the teaching. Select all that apply. 

A nurse assessing a pediatric patient’s respiratory status understands that an early sign of respiratory distress in children includes 

This parasite is about 15 um on oil.

A Nurse is educating a new grad about the differences in antipsychotic medications. Which statement should be included in that education?

A female client twirls and dances in the hall, while smiling she states to the Nurse “I feel like I am on top of the world!” How should the nurse document the client’s mood? 

A nurse is caring for a client who is experiencing mania. Which of the following interventions should be included in the plan of care? Select all that apply.

Your client states “God help us look at all the spiders on the wall!” You see some cracks in the wall in a spider like pattern where they are pointing. You document this as: 

What is the priority nursing intervention immediately following electroconvulsive therapy (ECT) treatment?

The nurse is teaching a group of clients about lithium carbonate. Which medications should she/he instruct the clients to avoid because of the increased risk of lithium toxicity?