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Wong's 11th ed - Chapter 20: Pediatric Nursing Interventions and Skills correctly answered graded A+ 2024/2025

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Wong's 11th ed - Chapter 20: Pediatric Nursing Interventions and Skills 1. In addition to an increased temperature, which is an early sign of malignant hyperthermia? a. Apnea b. Bradycardia c. Muscle rigidity d. Decreased blood pressure - correct answer ANS: C Early signs of malignant hyperthermia include tachycardia, increasing blood pressure, tachypnea, mottled skin, and muscle rigidity. Apnea is not a sign of malignant hyperthermia. Tachycardia, not bradycardia, is an early sign of malignant hyperthermia. Increased blood pressure, not decreased blood pressure, is characteristic of malignant hyperthermia. Which is an appropriate intervention to encourage food and fluid intake in a hospitalized child? a. Force the child to eat and drink to combat caloric losses. b. Discourage participation in non-eating activities until caloric intake is sufficient. c. Administer large quantities of flavored fluids at frequent intervals and during meals. d. Give high-quality foods and snacks whenever the child expresses hunger. - correct answer ANS: D Small, frequent meals and nutritious snacks should be provided for the child. Favorite foods such as peanut butter and jelly sandwiches, fruit yogurt, cheese, pizza, and macaroni and cheese should be available. Forcing a child to eat only meets with rebellion and reinforces the behavior as a control mechanism. Large quantities of fluid may decrease the child's hunger and further inhibit food intake. A 3-year-old child still has a fever of 102F, associated with a viral illness even after a dose of acetaminophen two hours ago. The nurse's action would be based on which statement? a. Fevers such as this are common with viral illnesses.

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