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A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?

A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever.

Medication Administration Record

0630:

0.9% sodium chloride at 97 mL/hr

Diagnostic Results

0650:

WBC count 22,000/mm3 (5,000 to 10,000/mm3) RBC count 4.5/mm3 (4.0 to 5.5/mm3)

Hgb 14 g/dL 9.5 to 14 g/dL)

Hct 44% (30% to 40%)

Platelets 350,000/mm3 (150,000 to 400,000/mm3)

C-Reactive Protein 1.8 mg/dL (less than 1.0 mg/dL)

Nurses' Notes

0600:

Client presents to the ED with guardian. Client reports that they began having pain around their "belly button" the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning, Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale.

0620:

Notified provider of client's arrival and assessment data. Prescriptions received.

0630:

IV started in right forearm x 1 stick with 22-gauge cathalon. Securement device and tegaderm placed. Infusing 0.9% sodium chloride 97 mL/hr via IV pump. CBC and C-Reactive Protein drawn and sent to lab.

0700:

Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin.

Vital Signs

0600:

Temperature 37.7° C (99.9° F). Pulse rate 98/min, strong and regular. Respiratory rate 22/min, blood pressure 124/64 mm Hg, oxygen

saturation 99% on room air.

Height: 163 cm (5 ft 4 in)

Weight: 56.7 kg (125 lb)

0700:

Temperature 38.4° C (101.1° F). Pulse rate 112/min, strong and regular. Respiratory rate 24/min, blood pressure 138/88 mmHg, oxygen saturation 98% on room air.

Provider Prescriptions

0620:

Start 0.9% sodium chloride IV

Infuse IV fluids at 97 mL/hr

Draw CBC and C-reactive Protein

Notify provider of lab results

The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)

A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?

A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?

A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?

A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?

The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?