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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Swelling in a dependent position is expected due to gravity and should reduce with elevation.
B. Pain following range-of-motion exercises can be normal after a fracture, but persistent or severe pain should be monitored.
C. Coolness of the toes indicates impaired circulation, which can be a sign of compartment syndrome or cast tightness and requires immediate medical attention.
D. Pruritus under the cast is a common complaint and can be managed with appropriate measures but does not require urgent reporting.
Correct Answer is []
Explanation
Potential Condition: Increased intracranial pressure
Actions to Take:
Measure head circumference: This action is important to monitor for signs of increasing intracranial pressure, as a bulging and tense fontanel suggests possible hydrocephalus or other intracranial pathology.
Plan to assist with administration of antibiotics: Antibiotics may be necessary if there is suspected meningitis or another infectious cause contributing to increased intracranial pressure.
Parameters to Monitor:
Behavioral changes: Monitor for irritability, difficulty to console, and other behavioral changes which can indicate neurological distress.
Pupillary response: Assess for changes in pupillary size and reactivity, as altered pupillary responses can indicate neurological involvement and increased intracranial pressure.
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