39. A nurse is preparing to administer a prescribed medication to a toddler whose parent is...

39. A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler?
a. check the toddler’s ID band against the medical record
b. check the toddler’s room number against their ID band
c. Ask the parent to confirm the toddler’s identity
d. Ask another nurse to confirm the toddler’s identity

41. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?
a. Administer oral viscous lidocaine
b. Schedule routine oral care every 8hr
c. Moisten the mucosa with lemon glycerin swabs
d. Cleanse the gums with saline soaked gauze

42. A nurse is assessing a 6-month infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
a. Tachypnea
b. Pharyngitis
c. Coughing
d. Rhinorrhea

43. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actionjs should the nurse take?
a. place a snug-fitting diaper over the drainage bag
b. stretch the perineum taut when applying the bag
c. Apply lidocaine gel to the perineum before attaching the bag
d. Position the opening of the bag over the urethra and the anus.

44. A nurse in the pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity?
a. polyuria
b. Bradycardia
c. Jaundice
d. Diaphoresis

Expert Solution

Answer:

39. a. check the toddler’s ID band against the medical record.

Always do identification of the patient with ID band and medical record irrespective of age to remove the errors associated with patient identification.This is included in international patient safety goal.

Pediatric patients may be wandering here and there.So it is not practicable to identify them with room number. Parents can provide the information regarding patient's( toddler) name, age, date of birth. But it is possible to have another patient in the unit with same name, age, date of birth.The nurse who is resposible to give medication must identify the patient correctly, it not to be asked the collegue to do so.

40.b. Schedule routine oral care every 8hr.

The best method to treat the oral ulcer due to chemotherapy is rinse the mouth after each meal , which meansroutine oral care every 8 hours.

Oral lidocaine viscous can cause numbness in the mouth . When it is administered to a toddler , there is chances to swallow it and this will cause numbness in throat and swallowing difficultya toddler.lemon glycein swab can cause more harm on sore and it may irritate the sored mucosa.mouth ulcer can occur not only in the gums but alsoon floor of the mouth,cheek, tounge. So cleansing the gum with saline soaked gauze is not completly relieve the sore.

42.C. Coughing.

In severe RSV ( respiratory syncitial virus) infection,it spreads to the lower respiratory tract and cause pneumonia. Severe coughing one of the symptom of it.

When it is severe, it can cause dyspnea, not tachypnea.Pharyngitis, rhinorrhea are the common symptoms of mild RSV infection

44.b. bradycardia.

Bradycardia is the first sign of digoxin toxicity in infants.

Nightingale answered 1 year ago

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is...

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse? Use a 22-gauge needle to inject the medication Inject the medication into the abdomen above the level of the iliac crest Massage the injection site after administration of the medication Use a 1-inch needle to inject the medication

A nurse is to administer prescribed heparin of 30 units/kg IV bolus before starting the continuous...

A nurse is to administer prescribed heparin of 30 units/kg IV bolus before starting the continuous infusion. Heparin 500 units/ml is available. The client weighs 200 pounds, How many milliliter of heparin bolus should the nurse administer. answer in 2 decimal place.

A nurse is to administer prescribed heparin of 100 units/kg IV bolus before starting the heparine...

A nurse is to administer prescribed heparin of 100 units/kg IV bolus before starting the heparine normogram. The client weighs 94 kg. how many units of heparin bolus should the nurse administer. available heparine dose is 1000 units/ml.

1. a nurse is preparing to administer epoetin to a client who has anemia due to...

1. a nurse is preparing to administer epoetin to a client who has anemia due to chemotherapy. which of the following actions should the nurse plan to take? a. review the clients Hgb level prior to administration. b. use the z-track method when administering the medication. c. shake the vial for 30 seconds prior to withdrawing the medication. d. ensure the client is not taking iron supplements while on this medication. 2. a nurse is caring for a client who...

A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which...

A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to take? Slow the transfusion rate if the client reports itching. Prime the IV tubing with 0.45% sodium chloride. Complete the transfusion within 2 hr. Administer through a 22-gauge IV catheter. A nurse is preparing to administer 1 unit of packed RBCs to an adult client. Which of the following actions should the nurse plan to...

A nurse is preparing to administer a dopamine 2 MCG/KG/MIN by continuous IV infusion for a...

A nurse is preparing to administer a dopamine 2 MCG/KG/MIN by continuous IV infusion for a client who weighs 110 pounds. Bearable is dopamine 400 mg in 200 mL of D5W. Nurse should set the IV pump to deliver how many mL/Hr Administer. ( I want to the nearest tenth)

The pediatric nurse is preparing to administer an antiparkinsonism drug to a 14-year-old client. What is...

The pediatric nurse is preparing to administer an antiparkinsonism drug to a 14-year-old client. What is the most likely indication for this use of antiparkinsonian drugs?

a nurse is preparing to administer insulin glargine to a child who has type 1 diabetes...

a nurse is preparing to administer insulin glargine to a child who has type 1 diabetes mellitus. the client is receive 10 units subcutaneous once daily at bedtime. reading the label on the unopened vial the nurse should determine that the vial contains how many dosage of this medication? insulin glargine 100unit/ml (U-100) do not mix with other insulin . use only if solution is clear and colorless with no particles visible one 100 ml vial

A nurse is preparing to waste a portion of a narcotic medication. Discuss the method for this process?

3. A nurse is preparing to administer nitroglycerin 15 mcg/min by continuous IV infusion. Available is...

3. A nurse is preparing to administer nitroglycerin 15 mcg/min by continuous IV infusion. Available is nitroglycerin 25 mg in 250 mL. of dextrose 5% in D5W. How many mL/hour should the IV infuse? 4. A nurse is preparing to administer nipride (nitroprusside) 4mcg/kg/min by continuous IV infusion to a client who weighs 57kg. Available is nitroprusside 50mg in 250mL D5W. How many mL/hour should the nurse set the IV pump? 5. The patient is prescribed lidocaine 3 mg/min by...

Question