A nurse is assisting with the care of a 5-month-old infant who was just admitted to the pediatric unit.
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the infant.
Maintain infant on continuous pulse oximetry.
Prepare the infant for a chest x-ray.
Initiate a peripheral IV line.
Maintain infant in supine position.
Offer small, frequent feedings.
Monitor intake and output.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Continuous pulse oximetry: Anticipated because the infant has respiratory distress and requires continuous monitoring of oxygen saturation.
Chest x-ray: Anticipated to assess the extent of lung involvement due to the respiratory distress and wheezing noted.
Peripheral IV line: Anticipated since the peripheral line will be used to administer intravenous medications and fluids.
Supine position: Contraindicated because the infant prefers to sit upright and shows signs of respiratory distress, such as nasal flaring and retractions.
Small, frequent feedings: Anticipated to ensure adequate nutrition despite feeding difficulties.
Monitor intake and output: Anticipated to assess hydration status, especially since the infant has had decreased intake and output.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
In a sensitive and challenging situation such as this, the nurse should consult the child life specialist for guidance and reinforce teaching to the parent regarding the adolescent's potential emotional responses. The child life specialist is trained to support children and families during difficult medical experiences, providing them with the necessary tools to cope with the situation. Reinforcing teaching to the parent about the adolescent's potential emotional responses ensures that the parent is prepared to support their child's emotional well-being, fostering an environment of open communication and trust. This approach respects the family's needs and the adolescent's right to be informed, while also providing the support needed to navigate the complexities of a cancer diagnosis.
Correct Answer is D
Explanation
A. Restricting fluid intake is not recommended; instead, increasing fluids helps flush out the contrast dye used during the procedure and aids in kidney function.
B. Children typically can return to school within a few days to a week, not 3 to 4 weeks, unless otherwise directed by the physician. Prolonged absence is generally unnecessary unless complications arise.
C. The catheterization site should not have drainage for 3 to 5 days. Any drainage could indicate an infection or other complication and should be evaluated by a healthcare provider.
D. Avoiding baths for the first 3 days helps prevent infection at the catheterization site. Sponge baths are recommended to keep the site clean and dry during the initial healing period.
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