Questions and Answers 100% Pass
Hector Jimenez-Walker: 6 week old infant (dehydration) - ✔✔Maslow's: high
ABC: low
Safety: high
Urgent vs non: low
chronic/stable: low
Initial Nursing Assessment
Safety: Injury Prevention
Health Promotion: Client education
Physiological: Comfort
Physiological: Elimination
Physiological: Fluid and Electrolyte
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,Anticipated Provider Prescriptions
Initiate insertion of a peripheral IV
Prepare the infant for surgery
Collect blood for CBC and CMP
Admin IV fluids
Understanding of teaching by parents
"If my baby does okay after the surgery, they can go home in 2 days."
"My baby may still have vomiting after feedings for the first 24-48 hours after the
procedure."
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, Interventions by nurse
All EXCEPT "maintain administration of IV fluids until discharge."
12:00 Which actions should the nurse take?
Administer acetaminophen as prescribed.
Fold diaper to keep below incision line.
Day 2: Info to include in the teaching
Avoid tub baths until incisions sites are healed.
Monitor for wet diapers q2-4h.
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