A 3-year-old child was brought into the emergency room this morning with a sudden onset of "fast and noisy breathing". According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house.

He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is found to have inspiratory stridor and retractions. Will admit to the pediatric floor for treatment

The nurse collects items to replace the peripheral Intravenous line.

Which 2 items must the nurse make sure is available before attempting to place the intravenous line?

A patient's flow chart is as below.

0800

• Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%.
• Admit to the paediatric floor
• Monitor heart rate and oxygen saturation continuously
• Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94%

0845

The nurse is reviewing the assessment.

Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.

A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?

An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

A male child is being prepared for a computed tomography (CT) scan when he begins to have a tonic clonic seizure. His mother is hysterical and is trying to hold the child down. Which action(s) should the nurse take? (Select all that apply.)

To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin intravenously (IV) to a week-old infant diagnosed with transposition of the great vessels. Based on which finding should the nurse stop the medication administration immediately?

A parent reports their preschool-aged child often asks others to repeat statements and does not articulate common words correctly. The parents think the child has a hearing impairment due to multiple episodes of ear infections and rupture tympanic membranes. The nurse inspects the outer ear canal using an otoscope and no obstruction, inflammation, or drainage is observed. Which action is most important for the nurse to implement?

An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?

A child weighing 67 pounds (30.5 kg) receives a prescription for benztropine 0.61 mg intravenous (IV) every 12 hours. This medication is available as 1 mg/mL ampules. How many mL should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest hundredth.)

The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?

A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?