2 12 months antique is admitted to the health center with possible encehalitis, and a lumbar
puncture is scheduled. Which information must the nurse offer this baby concerning the
method? - ANS-Describe he side-lying, knees to chest position that should be assumed all
through the proceudure
A sixteen yr vintage girl pupil with a history of allergies managed with both an oral antihistamine
and an albuterol (Provenfil) metre-dose inhaler (MDI) comes to the college nurse. The pupil
complains that she cannot sleep at night time, feels shaky and her coronary heart feels like it's
miles "beating a mile consistent with minute" Which statistics is most important for the nurse to
attain? - ANS-How frequently the MDI is used daily
A 16 12 months old male who has been dealt with inside the past for a seizure ailment is
admitted to the health facility. Immediately after admission he starts to have a Grand Mal
seizure. Which action must the nurse take? - ANS-have a look at him carefully
A 2 12 months old boy begins to cry while the mom starts to leave. What is the nurse's fine
response to the state of affairs? - ANS-permit me study this e book to you
A 2 yr old toddler with HF is admitted for substitute of a graft for coarcion of the aorta. Prior to
administering the subsequent dose of digoxin (Lanoxin) the nurse obtains and apical coronary
heart price at 128 bpm. What action need to the nurse put into effect? - ANS-Administer the
scheduled dose
A 3 year antique boy in a daycare facility scratches his head regularly and the nurse confirms
the presence of head lice. The nurse washes the kid's hair with permethrin (Nix) shampoo and
speak to his mother and father. What instructions ought to the nurse provide to the parents
about treatment of head lice? - ANS-Wash the kid's mattress linens and garb in warm soapy
water
A three year old with HIV contamination is staying with a foster circle of relatives who is worrying
for three different foster children in their home. When one of the kids acquires pertussis, the
foster mother calls the sanatorium and asks then nurse what she need to do. Which motion
ought to the nurse take first? - ANS-Review the immunizaiton documentation of the child who
has HIV
A 6 yr old with asthma is demonstrating a prolonged expiratory phase and wheezing and has a
35% of private exceptional height expiratory go with the flow price (PEFR) primarily based on
those findings, what motion need to the nurse take first? - ANS-Administer a prescribed
bronchodilator
, A 7 12 months old infant is admitted to the medical institution with acute glomerulonephritis
(AGN). When obtaining the nursing records which finding have to the nurse expect to gain? -
ANS-A current strep throat contamination
A 7 12 months vintage is admitted to the sanatorium with continual vomiting, and a nasogastric
tube connected to low intermittent suction is applied. Which locating is maximum essential for
the nurse to document to the healthcare issuer? - ANS-Serum potassium of three.0 mg/dL
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse
determines that the multiplied breathing price is a compensatory mechanism for which acid
base alteration? - ANS-Metabolic Acidoses
A child is added to the sanatorium complaining of fever and joint ache, and is DX with rheumatic
fever. When making plans take care of this child what's the aim of nursing care? - ANS-Prevent
cardiac harm
A toddler who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in similarly divided
doses every 4 hours. How many mg have to the nurse administer to the child for every dose? -
ANS-1875mg
A toddler with acute lymphocytic leukemia (ALL) who is receiving chemotherapy thru a
subclavian IV infusion, has an oral temperature of 103 ranges. In assessing the IV site, the
nurse determines that there are no signs and symptoms of contamination on the website. Which
intervention is the most vital for the nurse to enforce? - ANS-Obtain specimen for blood cultures
A infant with leukemia is admited to chemotherapy and the nursing diagnosis "alered nutrients,
less than boy requirements associated with anorexia, nausea, and vomiting" is recognized.
Which intervention the nurse blanketed on this childs plan of care? - ANS-Allow the child to eat
any meals preferred and tolerated
A month vintage girl is introduced to the sanatorium by using her mom due to the fact she has
had a chilly for 2 to 3 days and woke up this morning with a hacking cough and trouble
respiration. Which additional evaluation locating have to alert the nurse that the kid is in acute
respiratory misery? - ANS-Flaring of the nares
An little one with tetralogy of fallot will become acutely cyanotic and hyperpneic. Which action
ought to the nurse implement first? - ANS-Place the toddler in a knee-chest position
During a well toddler go to the mother and father explain that the gentle bulge appears in the
groin in their 4 month vintage son whilst he cries or strains with stool. The little one is scheduled
for surgical restore of the inguinal hernia in 2 weeks. The figure should be instructed to take
which degree if the hernia becomes incarceraed prior to surgical procedure? - ANS-Gently
manipulate the hernia for reducion