A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?
Administer a prescription for a PRN analgesic.
Wrap the infant tightly and rock in rocking chair.
Record the findings in the child's record.
Notify the healthcare provider of these findings.
The Correct Answer is D
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Related Questions
Correct Answer is A
Explanation
-
Convert the child’s weight from pounds to kilograms:
- 44 pounds =
2.244
kg = 20 kg (rounded to the nearest tenth).
- 44 pounds =
-
Determine the maximum daily dose based on weight:
- Maximum daily dose = 40 mg/kg/day
- Maximum daily dose for this child = 40 mg/kg × 20 kg = 800 mg/day.
Therefore, the maximum daily dose of pediatric ibuprofen for this child is 800 mg.
Correct Answer is ["B","C","E"]
Explanation
A. Closing the blinds room so is darkened is inappropriate. The lighting in the room is unlikely to have an impact on the seizure or its management. Ensuring safety and maintaining the airway is the priority.
B.Asking the mother to release the child is appropriate. It’s important to ensure the safety of both the child and the mother. The mother should be asked to release the child to prevent any potential harm to the child during the seizure
C. Monitoring the child's airway and tongue is appropriate. During a seizure, there is a risk of the child's airway being compromised. The nurse should closely monitor the child's airway to ensure that it remains open and that the tongue does not obstruct the airway. Positioning the child on their side can also help prevent choking.
D. Administering an anticonvulsant medication is inappropriate. The nurse should not administer medication without a healthcare provider's order. In a seizure emergency, the focus is on maintaining safety and managing the seizure itself.
E. Place pillows inside the side rails: This is a correct action to prevent injury during the seizure. Padding the side rails helps protect the child from hitting their head or limbs on the hard surfaces.
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