A mother calls her pediatrician's office concerned about her 7-month-old son. She gave him peanuts for the second time for lunch and he has vomited three times is coughing and looks flushed. What is the priority of the nurse?

Give Benadryl PO and monitor for the next 2 hours

Recommend symptomatic treatment for the cough

Tell the mother to call 911

Administer CPR to the child

Answer and Explanation

The Correct Answer is C

The symptoms described, including vomiting, coughing, and looking flushed, are concerning for a potentially severe allergic reaction, which can be life-threatening. This could be indicative of anaphylaxis, a severe allergic reaction that requires immediate medical attention.

Administering CPR (Option D) is not appropriate at this point unless the child becomes unresponsive and stops breathing, which would be a very late sign of anaphylaxis. In such a situation, CPR would be necessary, but the primary focus should be on calling 911 and obtaining immediate medical assistance.

Option A, giving Benadryl, can be part of the treatment for an allergic reaction, but it should not be the first or only action taken in a severe allergic reaction. Immediate medical evaluation and potential administration of epinephrine are more critical.

Option B, recommending symptomatic treatment for the cough, is not appropriate in this situation. The priority is recognizing the potential severity of the allergic reaction and seeking immediate emergency care.

Therefore, the nurse should advise the mother to call 911 to ensure that the child receives prompt medical attention and assessment for anaphylaxis.

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Correct Answer is ["480"]

Explanation

To calculate the total volume the patient will receive, you can use the formula:

Total Volume = Rate x Time

In this case, the rate is 20 mL/hr, and the time is 24 hours. Now, calculate:

Total Volume = 20 mL/hr x 24 hr = 480 mL

So, the patient will receive a total of 480 mL of the 0.9% NS solution.

A. weigh the child daily B. Measure the abdominal girth weekly C. Count the number of wet diapers D. Test the urine for hematuna

Correct Answer is A

Explanation

A. Weighing the child daily (A) is the most accurate and objective method for monitoring fluid retention in a child with nephrotic syndrome. Nephrotic syndrome can lead to significant fluid retention due to proteinuria and hypoalbuminemia. Daily weight measurements can detect even small changes in body weight, which may be indicative of fluid accumulation. It is a sensitive and specific measure for assessing fluid status.
B. Measuring the abdominal girth weekly (B) can provide some information about abdominal distension, but it is not as precise or sensitive as daily weight measurements. Weight gain or loss can occur without significant changes in abdominal girth, especially in children.
C. Counting the number of wet diapers (C) may provide some information about urinary output, but it does not directly measure overall fluid retention or body weight changes. It is not as reliable as daily weight measurements for assessing fluid status.
D. Testing the urine for hematuria (D) is a valuable diagnostic test to assess kidney function and the presence of blood in the urine, but it does not directly measure fluid retention. Hematuria is not typically the primary indicator of fluid overload in nephrotic syndrome.
In summary, daily weight measurements are the best way to monitor fluid retention in a child with nephrotic syndrome, as they provide a direct and objective assessment of changes in fluid status. This allows healthcare providers to make timely adjustments to the child's treatment plan if necessary.

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A mother calls her pediatrician's office concerned about her 7-month-old son. She gave him peanuts for the second time for lunch and he has vomited three times is coughing and looks flushed. What is the priority of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 1000 mL 0.9% NS bag is to be administered to a patient at 20 mL/hr. The patient is to receive this solution for hours. How many mi will the patient receive? (Round to the nearest whole number)

Correct Answer is ["480"]

Explanation

in a non-potty trained child with nephrotic syndrome is the best way to detect fluid retention?

Correct Answer is A

Explanation

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