ATI Real Life RN Nursing Care of Children Gastroenteritis and Dehydration

ATI Real Life RN Nursing Care of Children Gastroenteritis and Dehydration Which of the following types of isolation precautions should Susan implement? ️Contact Nurse Mary gave a report to Nurse Susan; SBAR format: ️S: 4 yo male pt, with his mom, admitted for dehydration B: The pt has had diarrhea for 2 days. Has poor appetite and only had sips of fluid for more than 1 day. He is crying and reports abd pain. He attends day care full time and is potty trained but is wearing diaper briefs because of diarrhea. A: Elevated temp of 38 degrees C, HR 120 bpm, RR 30 breaths/min. He has clear lungs, no murmurs, hyperactive bowel sounds. He is crying and has pain level of 3 using the FACES scale. R: Admitting prescriptions for the hospital are in the computer. Which of the following is the priority action based on the assessment? ️Initiate IV access Appropriate supplies to insert an IV cath for saline lock? ️Image B IV flow rate ️133 mL/hr Correct documentation of I&O ️Image D Based on lab findings and assessment, which is the priority action? ️Obtain rx for potassium. Correct technique for administering IV KCl? ️Administer an intermittent IV bolus of 5 mEq KCl in 100 mL 0.9% NaCl over 1 hr. Teaching the mom about using clotrimazole cream to tx diaper rash, should include? ️Dry skin thoroughly before applying the medication Age appropriate toys (SATA) ️Crayons, army guys, blocks, tractor Which of the following statements is a therapeutic response? ️"There are many resources available to you while you are here. We can discuss them if you like." Nurse Susan is preparing to administer promethazine (Phenergan), available is 25 mg/mL. ️0.28 mL, image B Which of the following is the appropriate site for the IM injection? ️Vastus lateralis Nurse review prelim stool culture findings and is preparing to explain the results to the mom. ️Matthew's diarrhea will subside in 1 week. DC instructions should include ️Matthew should incorporate oral rehydration with a regular diet.