A nurse is preparing to assist with the administration of scheduled medications for a school-age child.
Drag 1 medication and 1 child finding to fill in each blank in the following sentence. The nurse should clarify the child's prescription of
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
The nurse should clarify the child's prescription of dextrose 5% in 0.45% sodium chloride with 20 mEq potassium chloride/L at 75 mL/hr because of the child's laboratory values. The elevated potassium level of 6.2 mEq/L, which is above the normal range of 3.4 to 4.7 mEq/L, indicates hyperkalemia. Administering additional potassium could exacerbate this condition, therefore, it is crucial to review the prescription and adjust it accordingly to ensure the safety and well-being of the child.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fiber intake should be maintained or increased to prevent constipation due to immobility.
B. Protective padding at the pin sites helps prevent infection and irritation.
C. Traction weights should never be lifted or removed unless ordered by a physician as it can disrupt alignment.
D. Passive range-of-motion exercises are important but should be performed on the unaffected extremity. Active or passive movement of the affected extremity should be done according to medical orders.
Correct Answer is []
Explanation
Condition:
Pyelonephritis: The presence of fever, frequent and painful urination, and costovertebral angle tenderness, along with the urinalysis findings (cloudy urine, leukocyte esterase, nitrites, WBCs) and elevated WBC count suggest an upper urinary tract infection, likely pyelonephritis.
Actions to Take:
Request prescription for antibiotics: Pyelonephritis is a bacterial infection that requires antibiotic treatment to prevent complications and resolve the infection.
Encourage increased fluid intake: This helps to flush bacteria from the urinary tract, reducing the concentration of bacteria in the urine and helping to relieve symptoms.
Parameters to Monitor:
Child’s report of urgency: This can help assess if the infection is affecting the lower urinary tract as well and track the effectiveness of treatment.
Urine odor: Foul-smelling urine can indicate ongoing infection or bacterial presence and can be an indicator of the effectiveness of the treatment.
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