A nurse is caring for a child in the PICU. To prevent pressure ulcers, which intervention should the nurse include in the child's plan of care?

Avoid the use of a draw sheet when turning

Post a turning schedule at the client's bedside

Vigorously massage lotion into bony prominences

Turn and reposition the client at least every 4 hours

Answer and Explanation

The Correct Answer is B

Turning and repositioning the client at regular intervals is essential for preventing pressure ulcers in pediatric clients, especially those in the PICU who may be immobilized or have limited mobility due to their condition or treatment. Repositioning helps relieve pressure on bony prominences and redistributes pressure on the skin, reducing the risk of pressure ulcers. Turning schedules should be individualized based on the child's condition, mobility, and risk factors for pressure ulcers.

A.   Avoid the use of a draw sheet when turning: Using a draw sheet can facilitate safe and smooth turning of the client without causing shear or friction forces. It helps distribute the weight evenly and reduces the risk of injury to the client or caregiver during the turning process. Therefore, avoiding the use of a draw sheet may increase the risk of pressure ulcers rather than prevent them.
B.   Post a turning schedule at the client's bedside: While posting a turning schedule may serve as a reminder for staff, it alone does not provide direct intervention to prevent pressure ulcers. The crucial aspect is implementing the turning schedule consistently and ensuring that the client is repositioned at appropriate intervals.
C.   Vigorously massage lotion into bony prominences: Massaging lotion into bony prominences can increase friction and shear forces on the skin, potentially causing tissue damage rather than preventing pressure ulcers. Additionally, vigorous massage may be uncomfortable or painful for the client, especially if they have fragile skin or existing pressure ulcers.

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Correct Answer is A

Explanation

The practice as it helps prevent the backflow of stomach contents into the esophagus, which is beneficial for infants with gastroesophageal reflux.

B. This statement does not necessarily indicate an understanding of the teaching. Breast milk or formula can be used for infants with reflux; however, some formulas are designed to be easier to digest or less likely to cause reflux.

C. This is not generally recommended for infants with reflux. The safest position for all infants, including those with reflux, is on their back to reduce the risk of sudden infant death syndrome (SIDS).

D. This may be recommended in some cases to help reduce the symptoms of reflux. However, it's important to do this under the guidance of a healthcare provider to ensure it's done safely and appropriately. Thickening formula should be done with caution as it can increase the risk of choking.

A. The nurse contacts the pharmacist to adjust the prescribed dosage. B. The nurse determines the prescription is insufficient to achieve the desired effect. C. The nurse determines the prescription is above the recommended dosage range. D. The nurse administers the prescribed dosage.

Correct Answer is B

Explanation

To calculate the appropriate dosage of amoxicillin for the toddler; Given:

Weight of the toddler = 20 kg

Recommended dosage range = 20 to 25 mg/kg/day Calculate the total daily dose:

Minimum recommended dosage = 20 mg/kg/day Maximum recommended dosage = 25 mg/kg/day

Minimum total daily dose = 20 mg/kg/day × 20 kg = 400 mg/day Maximum total daily dose = 25 mg/kg/day × 20 kg = 500 mg/day

The prescribed dosage is 100 mg every 8 hours, which means 300 mg per day (100 mg × 3 times a day). As 300 mg is below the minimum recommended total daily dose (400 mg) for a toddler weighing 20 kg, the nurse should determine that the prescribed dosage is insufficient to achieve the desired effect.

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A nurse is caring for a child in the PICU. To prevent pressure ulcers, which intervention should the nurse include in the child's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?

Correct Answer is B

Explanation

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