A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include?

Encourage the toddler to use an incentive spirometer.

Place a cooling blanket on the toddler.

Administer IV dantrolene sodium to the toddler.

Administer aspirin to the toddler as needed for pain.

Answer and Explanation

The Correct Answer is A

A. This is the correct intervention. Encouraging the toddler to use an incentive spirometer helps promote lung expansion and prevent atelectasis (collapsed lung tissue), which is
important for postoperative respiratory function.

B. Placing a cooling blanket on the toddler is not a standard intervention following routine surgery. It's important to monitor the toddler's temperature and use appropriate measures if they experience hyperthermia.

C. Administering IV dantrolene sodium is used for the treatment of malignant hyperthermia, a rare but life-threatening reaction to certain medications used during anesthesia. It is not a routine postoperative intervention.

D. Aspirin is generally not recommended for pain relief in children due to the risk of Reye's syndrome. Other pain management options, such as acetaminophen or ibuprofen, are typically used for postoperative pain in children.

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Correct Answer is C

Explanation

A. Applying warming blankets is important for maintaining the child's body temperature, but it is not the top priority in this situation.

B. Administering an IV bolus may be necessary, but it is not the priority action. The child's airway and breathing take precedence.

C. This is the correct action. In cases of submersion injury, there is a risk of respiratory distress or failure due to aspiration of water. Assisting with intubation helps ensure a patent airway and adequate oxygenation.

D. Obtaining an arterial blood gas (ABG) sample is an important assessment, but it is not the top priority. Ensuring a patent airway and providing adequate oxygenation come first.

Correct Answer is ["2.2"]

Explanation

To calculate the dose of ondansetron for a child who is receiving chemotherapy, the nurse needs to use the following formula:

Dose (mL) = (Dose ordered in mg / Dose available in mg) x Volume available in mL

In this case, the dose ordered in mg is 0.15 mg/kg x 29.4 kg, which equals 4.41 mg. The dose available in mg is 4 mg, and the volume available in mL is 2 mL. Therefore, the dose in mL is:

Dose (mL) = (4.41 mg / 4 mg) x 2 mL Dose (mL) = 2.205 mL

The nurse should round the answer to the nearest tenth, so the final answer is 2.2 mL. The nurse should administer 2.2 mL of ondansetron IV to the child who is receiving chemotherapy.

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A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take?

Correct Answer is C

Explanation

Correct Answer is ["2.2"]

Explanation

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