In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement?

Instruct the mother to play with the child for stimulation and distraction.

Administer a dose of acetaminophen as needed.

Monitor the child's oxygen saturation level via pulse oximetry.

Encourage the child to drink adequate amounts of ﬂuids.

Answer and Explanation

The Correct Answer is C

Croup is a respiratory infection that causes inﬂammation and narrowing of the airway, resulting in a barking cough, hoarseness, and stridor. The PN should monitor the child's oxygen saturation level via pulse oximetry, as it can indicate the severity of the airway obstruction and the need for supplemental oxygen or other interventions.

The other options are not correct because:

A. Instructing the mother to play with the child for stimulation and distraction may worsen the child's condition, as it can increase his respiratory demand and anxiety.

B. Administering a dose of acetaminophen as needed may help reduce fever or pain, but it does not address the underlying cause of croup or improve airway patency.

D. Encouraging the child to drink adequate amounts of ﬂuids may help prevent dehydration and thin the secretions, but it does not relieve the inﬂammation or narrowing of the airway.

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Correct Answer is ["0.75"]

Explanation

To calculate the amount of mL to administer, the PN should use the following formula:

mL = (mcg x 1 mg/1000 mcg) / (mg/mL)

Plugging in the given values, we get:

mL = (150 x 1/1000) / (0.2)

mL = 0.15 / 0.2

mL = 0.75

Therefore, the PN should administer 0.75 mL of octreotide subcutaneously.

A. Dim the lights in the room and close the door. B. Guide the client through slow, rhythmic breathing. C. Turn the television on to the client's favorite show. D. Obtain a prescription for a higher dose of pain medication.

Correct Answer is B

Explanation

This is the best action for the PN to use in assisting this client to deal with his pain because it provides a non- pharmacological method of pain relief that can enhance the eﬀect of the opioid analgesic. Slow, rhythmic breathing can help the client relax, distract from the pain, and increase oxygenation and blood ﬂow.

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In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider prescribed octreotide 150 mcg/day subcutaneously for a client with dumping syndrome. The medication is available in 0.2 mg/mL vials. How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest hundredth).

Correct Answer is ["0.75"]

Explanation

Correct Answer is B

Explanation

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