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

Solutions

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

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