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A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

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.)

Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

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 school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?

A nurse is providing anticipatory guidance to new parents of an infant. Which information would be most important to stress with the parents to promote the infant's development of trust?

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?