What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Oxygen concentration of the ambient air.

Whether or not anyone witnessed the fall into the pool.

Temperature of water.

The amount of time the child was submerged.

Answer and Explanation

Correct Answer : A,C,D

Rationale:

A.   Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B.   While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C.   Water temperature impacts the body's response to submersion, affecting oxygen utilization.

D. The duration of submersion directly correlates with the level of hypoxemia.

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Correct Answer is A

Explanation

A. Contacting the healthcare provider to clarify the prescription is essential to ensure the correct dosage for the child. It allows for immediate resolution and prevents potential harm from an incorrect dosage.
B. Requesting verification from the charge nurse might be helpful but doesn’t address the issue of the potentially incorrect prescription dosage.
C. Instructing the pharmacy to send an accurate child's dosage is a good step after clarification but doesn't address the immediate concern of the potentially incorrect prescription.
D. Asking another nurse about the administration of adult dosages to children is relevant, but the immediate action should be clarifying the prescription directly with the healthcare provider.

A. Try not to listen to the conversation since it is confidential. B. Write an incident report and submit it to the unit manager. C. Approach the individuals involved and ask them to stop. D. Tell the client of the UAP's concern for him.

Correct Answer is C

Explanation

A. Trying not to listen to the conversation does not address the issue of confidentiality breach or protect the client's privacy.
B. Writing an incident report might be necessary, but the immediate action should be to stop the conversation to protect the client's confidentiality.
C. Approaching the individuals involved and asking them to stop is the most appropriate and immediate action to protect the client's privacy and confidentiality.
D. Telling the client about the UAP's concern might not be suitable without context or proper consent, and it might not address the confidentiality breach.

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What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Correct Answer is A

Explanation

The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. What is the best nursing action?

Correct Answer is C

Explanation

What is most important for the practical nurse (PN) to include when performing pain assessment after giving an analgesic?

The practical nurse (PN) is caring for a 3-month-old male infant two days after a pylorotomy and notices that the infant is restless, grimacing, and drawing his knees to his chest. What action should the PN implement?

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The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care?

The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow-up actions should the PN implement? (Select all that apply.)

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?