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A nurse in an emergency department is caring for a school-age child.

Exhibits

The nurse is continuing to care for the child. Which of the following actions should the nurse plan to take? Select all that apply.

Maintain NPO status.

Administer an antipyretic.

Initiate an infusion of IV fluids.

Administer a cleansing enema.

Prepare child and parents for ostomy placement.

Educate child and parents about plan of care.

Administer an analgesic.

Administer antibiotics.

Answer and Explanation

Correct Answer : A,B,C,F,G,H

A. Maintain NPO status. The child is at risk for surgery, and maintaining NPO status reduces the risk of aspiration.
B. Administer an antipyretic. Reducing fever can improve comfort and decrease metabolic demand.
C. Initiate an infusion of IV fluids. IV fluids prevent dehydration, especially since the child has had poor oral intake and diarrhea.
D. Administer a cleansing enema. An enema is contraindicated as it may worsen abdominal inflammation or cause perforation.
E. Prepare child and parents for ostomy placement. While surgery may be needed, an ostomy is not always required for appendicitis.
F. Educate child and parents about plan of care. Providing education helps reduce anxiety and ensures understanding of the interventions.
G. Administer an analgesic. Pain management is essential for comfort and reduces physiologic stress.
H. Administer antibiotics. Antibiotics are started preoperatively to manage infection or prevent complications if perforation is suspected.

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Free Nursing Study Resources

Correct Answer is ["12.5"]

Explanation

Dose required per day = 50mg/kg/day × 40 kg = 2000 mg/day

Dose per administration = 2000mg4 doses= 500 mg/dose

Volume to administer:

200mg5ml=40mg/ml

500mg40mg/ml=12.5ml/dose

Correct answer =12.5mL/dose

A. Feed infant in a supine position B. Offer smaller, more frequent feedings C. Thicken formula feedings with rice cereal D. Place infant in a side lying position for sleep.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Feed infant in a supine position: Contraindicated

Supine feeding increases the risk of aspiration and exacerbates reflux.

Offer smaller, more frequent feedings: Appropriate

Smaller, frequent feedings reduce gastric distension and reflux episodes.

Thicken formula feedings with rice cereal: Appropriate

Thickened feedings can help reduce reflux by increasing the weight of the stomach contents.

Place infant in a side-lying position for sleep: Contraindicated

The recommended sleep position for infants is supine (on the back) to reduce the risk of sudden infant death syndrome (SIDS).

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A nurse in an emergency department is caring for a school-age child. Exhibits The nurse is continuing to care for the child. Which of the following actions should the nurse plan to take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["12.5"]

Explanation

The nurse is continuing to care for the infant. The nurse is providing teaching to the parents of the infant. For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

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A nurse in an emergency department is caring for a school-age child.

Exhibits

The nurse is continuing to care for the child. Which of the following actions should the nurse plan to take? Select all that apply.