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Terms in this set (445)
A 1-year-old exhibits a runny Live attenuated influenza
nose and cough after being
administered a vaccine via the
intranasal route. Which vaccine Live attenuated influenza vaccines
may have been administered to administered intranasally may cause such
the child? mild side effects as a runny nose and cough.
Rotavirus vaccines may cause a runny nose,
but these vaccines are administered orally.
Rotavirus Inactivated influenza vaccine is administered
intramuscularly. Haemophilus influenzae
Inactivated influenza type b vaccine is administered
intramuscularly and may cause fever and
Live attenuated influenza local reactions.
,A 2-year-old boy with Upon awakening
hemophilia A is to start receiving
prophylactic intravenous Factor VIII is administered once in the
infusions of the recombinant morning on designated days. The half-life of
form of factor VIII three times a factor VIII is short. If factor VIII is
week. The nurse will instruct the administered later in the day (i.e., at bedtime,
parents to administer the factor after lunch, or before dinner), protection will
at what time on the designated not be adequate during the day, when the
days? child is most active and more vulnerable to
bleeding.
At bedtime
After lunch
Before dinner
Upon awakening
,A 2-year-old child is admitted Dorsal metacarpals of the hand
with gastroenteritis and
dehydration. Peripheral The choice of first insertion site should be
intravenous fluids are distal (low) on the periphery of an extremity
prescribed. What is the most and progress proximally (upward) toward
appropriate site for the first the trunk; the upper extremities are the most
intravenous insertion? appropriate sites for intravenous insertions
for adults and children older than 1 year.
Scalp vein near the fontanel Scalp veins are used for infants only if
peripheral veins are inaccessible. Foot veins
Venous arch on top of the foot should not be used once a child is walking.
The antecubital fossa should be avoided
Dorsal metacarpals of the hand because the arm will have to be immobilized
to stabilize the intravenous insertion site to
Basilic vein at the antecubital prevent an infiltration.
fossa
, A 4-year-old child is admitted to Infuse the blood over no more than 4 hours.
the pediatric unit with the
diagnosis of acute lymphocytic Blood should be administered within 4
leukemia (ALL). A blood hours; the risk for bacterial proliferation
transfusion is ordered, and an increases over time and exposure to room
intravenous line is started. What temperature. Taking the vital signs 3 hours
will the nurse do in regard to after the transfusion is too long to wait; the
administering the transfusion? vital signs should be checked every 5
minutes during the absorption of the first 50
mL of blood and then routinely thereafter
(every 15 minutes to 1 hour, depending on
Infuse the blood over no more hospital policy). Vital signs must be checked
than 4 hours. every 5 minutes during the administration of
the first 50 mL of blood to detect a
Take the vital signs 3 hours after transfusion reaction. Blood should be used
the transfusion. within 30 minutes after its arrival from the
blood bank; the risk for bacterial
Check the vital signs 15 minutes proliferation increases over time and
after starting the transfusion. exposure to room temperature.
Terms in this set (445)
A 1-year-old exhibits a runny Live attenuated influenza
nose and cough after being
administered a vaccine via the
intranasal route. Which vaccine Live attenuated influenza vaccines
may have been administered to administered intranasally may cause such
the child? mild side effects as a runny nose and cough.
Rotavirus vaccines may cause a runny nose,
but these vaccines are administered orally.
Rotavirus Inactivated influenza vaccine is administered
intramuscularly. Haemophilus influenzae
Inactivated influenza type b vaccine is administered
intramuscularly and may cause fever and
Live attenuated influenza local reactions.
,A 2-year-old boy with Upon awakening
hemophilia A is to start receiving
prophylactic intravenous Factor VIII is administered once in the
infusions of the recombinant morning on designated days. The half-life of
form of factor VIII three times a factor VIII is short. If factor VIII is
week. The nurse will instruct the administered later in the day (i.e., at bedtime,
parents to administer the factor after lunch, or before dinner), protection will
at what time on the designated not be adequate during the day, when the
days? child is most active and more vulnerable to
bleeding.
At bedtime
After lunch
Before dinner
Upon awakening
,A 2-year-old child is admitted Dorsal metacarpals of the hand
with gastroenteritis and
dehydration. Peripheral The choice of first insertion site should be
intravenous fluids are distal (low) on the periphery of an extremity
prescribed. What is the most and progress proximally (upward) toward
appropriate site for the first the trunk; the upper extremities are the most
intravenous insertion? appropriate sites for intravenous insertions
for adults and children older than 1 year.
Scalp vein near the fontanel Scalp veins are used for infants only if
peripheral veins are inaccessible. Foot veins
Venous arch on top of the foot should not be used once a child is walking.
The antecubital fossa should be avoided
Dorsal metacarpals of the hand because the arm will have to be immobilized
to stabilize the intravenous insertion site to
Basilic vein at the antecubital prevent an infiltration.
fossa
, A 4-year-old child is admitted to Infuse the blood over no more than 4 hours.
the pediatric unit with the
diagnosis of acute lymphocytic Blood should be administered within 4
leukemia (ALL). A blood hours; the risk for bacterial proliferation
transfusion is ordered, and an increases over time and exposure to room
intravenous line is started. What temperature. Taking the vital signs 3 hours
will the nurse do in regard to after the transfusion is too long to wait; the
administering the transfusion? vital signs should be checked every 5
minutes during the absorption of the first 50
mL of blood and then routinely thereafter
(every 15 minutes to 1 hour, depending on
Infuse the blood over no more hospital policy). Vital signs must be checked
than 4 hours. every 5 minutes during the administration of
the first 50 mL of blood to detect a
Take the vital signs 3 hours after transfusion reaction. Blood should be used
the transfusion. within 30 minutes after its arrival from the
blood bank; the risk for bacterial
Check the vital signs 15 minutes proliferation increases over time and
after starting the transfusion. exposure to room temperature.
