Complete the diagram by dragging from the choices below to specify what condition the
client is most likely experiencing, 2 actions the nurse should
... [Show More] take to address that condition,
and 2 parameters the nurse should monitor to assess the client's progress.
educate the guardian about sweat chloride testing for the toddler and prepare the toddler
for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis, as
evidenced by reports of recurring respiratory infections, wheezing, coughing, tachypnea,
tachycardia, labored respirations, decreased oxygen saturation, nasal congestion, inability to
gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate the toddler's
response to these interventions, the nurse should monitor the toddler's oxygen saturation
level and stools. These are parameters that indicate if the toddler is further experiencing
respiratory distress, inadequate intake, and dehydration, which can lead to further
complications, including pneumothorax, respiratory failure, and failure to thrive
A nurse is caring for a school age child who is receiving cefazolin via intermittent IV bolus.
The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing
the medication infusion, which of the following medications should the nurse administer
first?
Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat the
anaphylaxis. Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes
vasoconstriction of blood vessels in the skin and mucous membranes, and triggers
bronchodilation in the lungs.
Which of the following statements by a guardian indicate that the discharge teaching was
effective?
Select all that apply
"We should apply a skin emollient immediately after bathing our child" is correct. An
emollient is an oil that moisturizes the skin and should be applied immediately after bathing,
while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates
the teaching has been effective.
"We should keep our child's fingernails trimmed short" is correct. The child's fingernails
and toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges. [Show Less]