What are the nursing diagnoses of lead poisoning in infants?
Based on the assessment data, the major nursing diagnoses are: Delayed growth and development related to effects of lead on the brain. Disorganized infant behavior related to irritability and lethargy. Ineffective breathing pattern related to shortness of breath. The child will have a normal blood lead level.
What is the nurse in the emergency department listening to?
The nurse in the emergency department is listening to the breath sounds of a client with respiratory distress and hears this sound. (Refer to audio.) The nurse determines that this finding is characteristic of which disorder?
What does the school nurse see in a 14 year old?
The school nurse sees a 14-year-old child who presents with fatigue and a nagging cough of three weeks' duration that has become productive with thick mucus and is much worse at night. The school nurse suspects pertussis (whooping cough), because vaccine protection wanes in 5-10 years. What is the school nurse's first nursing action?
What is the treatment for lead poisoning in children?
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with: Chelating agents are used to treat the client with poisonings from heavy metals such as lead and iron.
How does EDTA treat lead poisoning?
Chelation therapy using EDTA is the medically-accepted treatment for lead poisoning. Injected intravenously and once in the bloodstream, EDTA traps lead and other metals, forming a compound that the body can eliminate in the urine. The process generally takes 1 to 3 hours.
Which condition should the nurse closely monitor that may occur during chelation therapy in a child with lead poisoning?
Medication administration. All the chelating drugs may have toxic side effects, and children being treated must be carefully monitored with frequent urinalysis, blood cell counts, and renal function tests.
Which client should the emergency department triage nurse classify as emergent?
Clients with a chest stab wound and tachycardia, and with new-onset confusion and slurred speech, should be triaged as emergent.
Which client would the nurse treat first according to a three tiered triage system?
The first priority should be given for clients with a red tag because the client's life may be saved with immediate treatment.
What are the side effects of EDTA?
EDTA can cause abdominal cramps, nausea, vomiting, diarrhea, headache, low blood pressure, skin problems, and fever. It is UNSAFE to use more than 3 grams of EDTA per day, or to take it longer than 5 to 7 days. Too much can cause kidney damage, dangerously low calcium levels, and death.
Which side effect would the nurse anticipate in a child receiving chelation therapy?
One of the most common side effects of chelation therapy is a burning sensation near the injection site. Other mild to moderate side effects include: fever. headache.
What are the 3 categories of triage?
TriageImmediate category. These casualties require immediate life-saving treatment.Urgent category. These casualties require significant intervention as soon as possible.Delayed category. These patients will require medical intervention, but not with any urgency.Expectant category.
What are the 3 categories of triage meaning?
Category I: Used for viable victims with potentially life-threatening conditions. Category II: Used for victims with non-life-threatening injuries, but who urgently require treatment. Category III: Used for victims with minor injuries that do not require ambulance transport.
What are the 5 levels of triage?
In general, triage categories can be expressed as a Description (immediate; Urgent; Delayed; Expectant), Priority (1 to 4), or Color (Red, Yellow, Green, Blue), respectively, where Immediate category equals Priority 1 and Red color [1,2]. ...
What are the colors for triage?
Standard sectionsBlackExpectantPain medication only, until deathRedImmediateLife-threatening injuriesYellowDelayedNon-life-threatening injuriesGreenMinimalMinor injuries
What are the three criteria for assessing patients during triage?
The START triage system classifies patients as red/immediate if the patient fits one of the following three criteria: 1) A respiratory rate that's > 30 per minute; 2) Radial pulse is absent, or capillary refill is > 2 seconds; and 3) Patient is unable to follow simple commands.
What are the 4 categories of triage in a mass casualty situation?
In both SALT and START , responders classify each victim involved in a mass casualty incident into the following categories for treatment needs:Green (minimal)Yellow (delayed)Red (immediate)Black (dead)