6-year-old child.
Vomited 3 times in the past 24 hr. Irritable behavior for the past 24 hr. The respiratory infection started 3 days ago.
Brudzinski's and Kernig's signs are positive.
Vital Signs.
Respiratory rate 28/min.
Pulse rate 120/min.
BP 108/64 mm Hg. Pain level of 6 on a scale from 0 to 10. Medication Administration Record.
Vancomycin 300 mg IV q 6 hr following blood cultures.
Acetaminophen 240 mg PO q 6 hr PRN fever.
A nurse is planning care for a child during admission to the facility.
Which of the following actions should the nurse take first?
Obtain a prescription for pain medication.
Initiate seizure precautions.
Collect blood cultures.
Transport the child to obtain a CT scan.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Correct Answer is C
Explanation
The correct answer is c. Use an albuterol inhaler.
Choice A reason: Eating a meal before postural drainage is not recommended because it can cause discomfort, nausea, or vomiting due to the positions required for the procedure.
Choice B reason: Taking pancrelipase is important for aiding digestion in cystic fibrosis patients, but it is not specifically related to the preparation for postural drainage.
Choice C reason: Bronchodilators like albuterol are used before airway clearance techniques to open the airways, making it easier to clear mucus during postural drainage.
Choice D reason: While maintaining oral hygiene is important for overall health, it is not a preparation step for postural drainage.
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