A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?

Administer benadryl.

Apply ice to the site.

Give epinephrine.

Determine if the sting is in situ

Answer and Explanation

The Correct Answer is C

A. Administering Benadryl may help with allergic reactions but is not the immediate priority when the patient is showing signs of severe hypotension and respiratory distress.

B. Applying ice to the site may help with local swelling but does not address the systemic reaction the child is experiencing.

C. Giving epinephrine is the priority action as it counteracts the anaphylactic reaction, improves blood pressure, and alleviates respiratory distress.

D. Determining if the sting is in situ is less critical than addressing the child's life-threatening symptoms.

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Correct Answer is ["10"]

Explanation

To calculate the dosage of ondansetron for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 44 lbs, which is equivalent to 20 kg (44 lbs / 2.2 lbs per kg). The prescribed dose is 0.5 mg/kg, so you would multiply the child's weight in kilograms by the dose: 20 kg * 0.5 mg/kg = 10 mg. Since the safe dose is up to 5 mg/kg per dose and the child's weight is 20 kg, the maximum safe dose would be 100 mg (20 kg * 5 mg/kg). Therefore, the nurse should administer 10 mg, as it is within the safe dose range.

A. Weighing on the same scale each day B. Testing the urine for glucose levels regularly C. Increasing fluid intake by 50 ml per hour D. Ambulating 3 to 4 times a day E. Complete the course of prescribed antibiotics

Correct Answer is A

Explanation

A. Weighing the child daily on the same scale is critical for monitoring fluid retention and managing edema, which are primary concerns in nephrotic syndrome.

B. Testing urine for glucose levels is not a routine part of nephrotic syndrome management, as glucose levels are not typically affected by this condition.

C. Increasing fluid intake is not advisable in nephrotic syndrome if there is significant edema; fluid management must be tailored to the child's condition.

D. While ambulation is beneficial, it is not as critical as daily weight monitoring in managing nephrotic syndrome.

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A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["10"]

Explanation

In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Correct Answer is A

Explanation

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A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?