A child diagnosed with Tetralogy of Fallot becomes upset, crying and trashing around when a blood specimen is obtained. The child’s color becomes blue and the respiratory rate increases to 44 breaths/min. Which of the following actions should the nurse do first?

The school nurse is walking through the lunchroom when one of the children says she “feels strange” after switching her lunch with her friend. The patient is stable and talking to the nurse. Which of the following nursing assessment questions should be asked first?

A child is diagnosed with hemolytic-uremic syndrome (HUS). Review of the child’s laboratory test results would reveal which of the following?

A 16 year-old -female has come to the clinic for the third time in 6 months to be treated for a urinary tract infection. Your educational material would include which of the following? Select all that apply.

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

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

The nurse is conducting a physical examination of a child with a ventricular septal defect. Which of the following assessment findings is expected with this disorder?

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.

Case Study Question 1 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.     Vital Signs   Time 0815 Temp 39.3°C/102.7°F temporal HR 142 RR 38 B/P 88/52 Pulse oximeter 96%   Question 1: Select the three (3) assessment findings that require immediate follow up or evaluation.