Why does the nurse monitor the fluid balance of the child?
· The nurse is caring for a child who has been experiencing hypercyanotic episodes. Which treatments will be effective in managing them? Select all that apply. Apply a cool cloth the child’s forehead. Provide supplemental oxygen. Administer Demerol as prescribed. Reduce intravenous fluids. Assist the child to a knee chest position.
What should a nurse do if a child is lactose intolerant?
The nurse should convert the child's weight in pounds to kilograms by dividing the child's weight in pounds by 2.2. (35 pounds divided by 2.2 = 16 kg). The nurse would then multiply the child's weight in kilograms by 1 mg for the low end (16 kg × 1 mg = 16 mg) and then by 2 mg for the high end (16 kg × 2 mg = 32 mg).
How does the nurse determine the dosage of medication for a child?
What should the nurse teach the parents of a child with Tetrology of Fallot to do if the child suddenly becomes cyanotic and dyspneic while hospitalized? ... The nurse is caring for a child experiencing hyperkalemia from acute renal failure. ... The nurse is assigned a child receiving vincristine via a peripheral IV line.
What will the nurse be administering to the child?
· Give a bolus of IV fluids. Start O 2. Administer meperidine (Demerol) 75mg IV push. The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select? Roast beef, gelatin salad, green beans, and peach pie. Chicken salad sandwich, coleslaw, French fries, ice cream
How often should a nurse check a child's blood pressure?
B. Check the child's blood pressure every 4 hr. - The nurse should check the child's blood pressure every 4 to 6 hr to monitor for hypertension.
What is a nurse caring for?
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the following actions should the nurse take?
What is the specific gravity of a child with nephrotic syndrome?
C. A child who has sickle cell anemia and a urine specific gravity of 1.030.
How to help a toddler who has asthma?
A. Encourage the parents to bring in the child's stuffed animal. - Encouraging parents to bring in a child's favorite stuffed animal helps lessen the disruptiveness of hospitalization. A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization.
Why is the inability to clear secretions the priority finding?
Therefore, the inability to clear secretions is the priority-finding because the child has a compromised airway and the nurse must act in a manner that ensures transportation of oxygen to the body's cells. A nurse is teaching a parent of an infant who has a colostomy.
Why should a child use a soft sponge toothbrush when brushing her teeth?
- The child should use a soft sponge toothbrush when brushing her teeth because a regular toothbrush might cause further irritation to the mucosal ulcers. A nurse is caring for a group of infants who have congenital heart defects.
What does tilting your head do to your child?
B. Tilt the child's head back. - Tilting the head back allows blood to flow down the back of the throat, which can cause nausea.
What is tachypnea in children?
Tachypnea-- results when the kidneys are unable to excrete hydrogen ions and produce bicarbonate leading to metabolic acidosis. A nurse is reviewing the laboratory report of a 6-year-old child who is receiving chemotherapy.
How long should you wait before taking a bath?
Wait 3 days before taking a bath-- reduces the risk of infection. A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of fallot and begins to have a hypercyanotic spell.
Can a stent drain into a diaper?
Allow the stent to drain directly into your infant's diaper-- this will prevent kinking or twisting that can interfere with urine flow. A nurse is caring for a school-age child who is receiving chemotherapy and is severely immunocompromised.
How to care for a school age child receiving a blood transfusion?
First, the nurse should turn off the IV pump. Next, the nurse should occlude the IV tubing, and then remove the tape securing the catheter. Last, the nurse should apply pressure over the catheter insertion site. A nurse is caring for a school-age child who is receiving a blood transfusion.
What precautions should a nurse take for an infant with epidural hematoma?
Implement seizure precautions for the infant.An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the nurse should implement seizure precautions for the child.
What is a nurse caring for?
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first?
How long should a nurse administer pancreatic enzymes?
The nurse should plan to administer pancreatic enzymes within 30 min of meals and snacks to replace the enzymes lost with cystic fibrosis, NOT 2 hours. a nurse in an ED is assessing a toddler who has kawasaki disease. which of the following should the nurse expect? Increased temperature is correct.
How often should you check peripheral pulses?
Assess peripheral pulses once every 4 hr. Buck's traction is a type of skin traction that can be used to immobilize extremities prior to surgery. The nurse should provide frequent neurovascular checks at least every 4 hr after the first 24 hr of placement in Buck's traction.
Why should a nurse provide a book about adventure as a developmental activity?
The nurse should provide a school-age child with a book about adventure as a developmental activity because children are expanding their knowledge and imagination during this age. Through reading, school-age children can feel powerful and skillful as they imagine themselves in the stories they read.
What is the respiratory rate of a 3-year-old?
Respiratory rate 45/minThe nurse should identify that a respiratory rate of 45/min is above the expected reference range of 20 to 25/min for a 3-year-old toddler and can indicate respiratory dysfunction and acute respiratory distress. Therefore, the nurse should report this finding to the provider.
Why is contrast material used in a child's fluid balance?
The contrast material used has a diuretic effect. Explanation: The contrast material has a diuretic effect so the nurse assesses the child closely for signs and symptoms of dehydration and hypovolemia. Although blood loss can occur, this is not the reason for monitoring the child’s fluid balance.
What does "notify the doctor immediately" mean?
Notify the doctor immediately. Explanation: The nurse would notify the doctor immediately. Cardiac tamponade is a medical emergency and should be addressed. The child can die if intervention is postponed. It would not be appropriate to perform any interventions until confirming that this is the actual diagnosis.
What is the best treatment for rheumatic fever?
Aspirin Explanation: Salicylates are administered in the form of aspirin to reduce fever and to relieve joint inflammation and pain in the child with rheumatic fever. Although salicylates as a general rule are not given to children, they continue to be the treatment of choice for rheumatic fever. Tylenol is not effective for the inflammation. Insulin would be given for diabetes and dilantin for seizure disorders.
Why is digoxin important for children?
This is even more important if the child is also receiving digoxin because low serum potassium levels potentiate or increase the effect of the drug. Serum sodium levels may be obtained in children with heart failure to ensure that an increased sodium level is not causing edema.
What is ineffective tissue perfusion related to?
Ineffective tissue perfusion related to inefficiency of the heart as a pump Explanation: A ventriculoseptal defect permits blood to flow across a septum, creating an ineffective pump. The nurse is caring for a child with congestive heart failure and is administering the drug digoxin.
How to administer propranolol IV?
Administer propranolol (0.1 mg/kg IV). Place the child in a knee-to-chest position. Place the child in a knee-to-chest position. Explanation: The priority nursing action is to place the infant or child in a knee-to-chest position .
What happens when a child is placed on a cardiopulmonary bypass?
Explanation: The child is placed in a hypothermic state when placed on a cardiopulmonary bypass. When the child is warmed, the heart starts pumping again.
How does a nurse identify a child?
A)The nurse identifies the child by checking the name on the child's chart.
Who is the best source of knowledge on medication administration for the child?
The father is the best source of knowledge on medication administration for the child. The pharmacy should be called to determine if the pill might be crushed. Asking the child to try swallowing the pill disregards the information the father has just given. Requesting that the physician order the medication in liquid form is not necessary at this point.
Why is the nurse violating one of the "rights" of medication administration?
The nurse violated one of the "rights" of medication administration, the right dosage, because the nurse is responsible for being aware and questioning an incorrect dosage of medication. Medication administration is within the scope of nursing practice. Maleficence is performing a harmful act intentionally.
How to determine the right time to administer medication?
For the 'right to be educated,' the nurse explains the therapeutic effects of the medication to the child and parents. To ensure the 'right patient,' the nurse confirms the child's identity and then checks with the caregivers for further identification. To administer at the 'right time,' the nurse gives the medication within 20 to 30 minutes of the ordered time , and to protect the child's 'right to refuse,' the nurse respects the child's or parents' option to refuse.
How often should a nurse check blood glucose levels?
Initially, the nurse should check blood glucose levels frequently, such as every 4 to 6 hours, to evaluate for hyperglycemia. Throughout TPN therapy, the nurse should be vigilant in monitoring the infusion rate, and report any changes in the infusion rate to the physician or nurse practitioner immediately.
How long should a 3-year-old stay in hyperextension?
Once the drops are instilled, the child should remain in hyperextension for at least 1 minute to ensure the drops have come in contact with the nasal membranes. Ten minutes would be excessive. The other statements are correct. The nurse is administering a liquid medication to a 3-year-old using an oral syringe.
How long does it take for a nurse to administer a medication?
To administer at the 'right time,' the nurse gives the medication within 20 to 30 minutes of the ordered time, and to protect the child's 'right to refuse,' the nurse respects the child's or parents' option to refuse. Click again to see term 👆. Tap again to see term 👆. Nice work!
What does a client tell the nurse about the rhythm method?
A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the: A client with diabetes asks the nurse for advice regarding methods of birth control.
What to do when a nurse checks a client's fundus?
The next action the nurse should take is to: Check the client for bladder distention.
What is the name of the medication that is administered to a client with hypertension?
The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
What is the prescription for angina?
The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:
How to test a 5-year-old for pinworms?
To collect a specimen for assessment of pinworms, the nurse should teach the mother to: Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep. Scrape the skin with a piece of cardboard and bring it to the clinic.
What are sickle cell anemia clients taught?
Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?
When should a nurse give a sponge bath?
The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first 2 weeks of life because:
What is the nurse doing in a newborn nursery?
The nurse in the newborn nursery is doing the admission assessment on a neonate. Congenital hip dysplasia will be suspected when the nurse observes: The nurse has completed parent education related to treatment for a child with congenital clubfoot. The nurse knows that parents need further teaching when they state:
What is albuterol used for?
Albuterol, used primarily as a rescue inhaler, utilizes the bronchodilation component of β2 adrenergic receptor stimulation in order to treat bronchospasms c ...