Which of the following types of isolation precautions should Susan implement? - ANSWERSContact
Nurse Mary gave a report to Nurse Susan; SBAR format: -
... [Show More] ANSWERSS: 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? - ANSWERSInitiate IV access
Appropriate supplies to insert an IV cath for saline lock? - ANSWERSImage B
IV flow rate - ANSWERS133 mL/hr
Correct documentation of I&O - ANSWERSImage D
Based on lab findings and assessment, which is the priority action? - ANSWERSObtain rx for potassium.
Correct technique for administering IV KCl? - ANSWERSAdminister 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? - ANSWERSDry skin thoroughly before applying the medication
Age appropriate toys (SATA) - ANSWERSCrayons, army guys, blocks, tractor
Which of the following statements is a therapeutic response? - ANSWERS"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. - ANSWERS0.28 mL, image B
Which of the following is the appropriate site for the IM injection? - ANSWERSVastus lateralis
Nurse review prelim stool culture findings and is preparing to explain the results to the mom. - ANSWERSMatthew's diarrhea will subside in 1 week.
DC instructions should include - ANSWERSMatthew should incorporate oral rehydration with a regular diet. [Show Less]