A nurse in the provider's office is caring for a child who has a history of tonic-clonic seizure disorder. Three months ago, the neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. The child has a 1-year history of mild exercise-induced asthma for which they were prescribed a rescue inhaler of albuterol prn.

The client is at risk for developing

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due to

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A nurse is caring for an adolescent who has diabetic ketoacidosis (DKA). The nurse notes the following findings:

1. capillary refill is greater than 4 seconds
2. peripheral pulses are rapid and weak,
3. guardian reports it has been over 12 hours since adolescent last voided and for the past 6 hours has not been able to retain any oral fluids,
4. respirations are deep and rapid, breath has an acetone odor to it.
5. Adolescent does ask for a drink and cries out that they are thirsty.
6. Bedside glucose monitor shows glucose is above 500 mg/dL.
7. Provider notified immediately.

09:00:

2 peripheral IVs were started in the antecubital space. Bloodwork drawn via left antecubital IV and sent STAT to laboratory. IV of 0.9% sodium chloride infusing in the right antecubital IV at 200 mL/hr. No edema or drainage at IV site. Placed on cardiac monitor and is transported to the PICU.

PICU

09:15:

14-year-old received from the emergency department for treatment of DKA. Guardian is present. Adolescent placed on cardiac monitor. IV fluid of 0.9% NaCl is infusing at 200 mL/hr in antecubital IV. No edema or drainage at IV site. Child is yelling for a drink of water. Explained that they are not able to have anything by mouth at this time. Kussmaul respirations and fruity smelling breath noted. Sinus tachycardia is noted on monitor. Laboratory called with results from the bloodwork. Provider is notified.

The nurse should anticipate the provider's prescriptions for this client to include which of the following? (Select all that apply.)

A nurse in the provider's office is caring for a child who has a history of tonic-clonic seizure disorder. Three months ago, the neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. The child has a 1-year history of mild exercise-induced asthma for which they were prescribed a rescue inhaler of albuterol prn.

A nurse is caring for an adolescent who was brought to the emergency department (ED) with a high fever, headache, and neck stiffness. The nurse reviews the adolescent's cerebrospinal fluid (CSF) analysis results and notes the following:

- WBC count 300 cells/microliter (normal range: 0 to 10 cells/microliter)
- Protein 45 mg/dL (normal range: 15 to 45 mg/dL)
- Glucose 40 mg/dL (normal range: 50 to 75 mg/dL)
- Color Turbid (normal: clear and colorless)

The nurse should suspect that the adolescent has which of the following conditions?

A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.)