A nurse is caring for a child with suspected acute rheumatic fever. Which of the following assessment findings points to this infection?
The nurse is caring for a 12-year-old boy with idiopathic th…
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?
The nurse is administering a new antibiotic as ordered. The…
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 wi…
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?
Which interventions decrease cardiac demands in an infant wi…
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…
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.
When evaluating the hemogram of an 8-month-old infant, the n…
When evaluating the hemogram of an 8-month-old infant, the nurse understands that which value needs additional follow up?
The nurse is conducting a physical examination of a child wi…
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?
A patient that came in with decreased fetal movement. The d…
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:
Case Study Question 5 of 6 A 2-year-old female is brought t…
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.