a child is showing signs of acute respiratory distress the child should be positione 2921002

A child is showing signs of acute respiratory distress. The child should be positioned Upright A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. The nurse should instruct the technician to Report any neonate with a breathing pause that lasts 20 seconds or longer. A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to Administer nebulized epinephrine and oral or IM dexamethasone. The nurse is teaching a group of mothers of infants about the benefits of immunization. The nurse will explain that the life-threatening disease epiglottitis can be prevented by immunization against Haemophilus influenzae type B (HIB). A nurse is assessing a neonate. The assessment that might indicate that the neonate’s respiratory status is worsening is Grunting respirations with nasal flaring. An appropriate nursing diagnosis for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV) would be Activity intolerance. A child is admitted to the hospital with pneumonia. The child’s oximetry reading is 88 percent upon admission to the pediatric floor. The priority nursing activity for this child would be to Begin oxygen per nasal cannula. The physician has changed the medications for the child with asthma to salmeterol (Serevent). The mother asks the nurse what this drug will do. The nurse should explain that salmeterol (Serevent) is used to treat asthma because the drug Is a bronchodilator. Following parental teaching, the nurse is evaluating the parents’ understanding of environmental control for their child’s asthma management. Teaching has been understood by the parents if they state “We will replace the carpet in our child’s bedroom with tile.” A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic fibrosis. The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is Meconium ileus. The nurse is teaching the parents of a newly diagnosed cystic fibrosis patient how to administer the pancreatic enzymes. The nurse will advise the parents to administer the enzymes With meals and snacks. A child with asthma will be receiving an oral dose of prednisone. The order reads prednisone 2 mg/kg per day. The child weighs 50 lbs. The child will receive ____ milligrams daily. (Round the answer.) 45.5 Parents of a child admitted with respiratory distress are concerned because the child won’t lie down and wants to sit in a chair leaning forward. The nurse tells the parents that: This position helps keep the airway open. A child is on rifampin (Rimactane) for treatment of tuberculosis. The nurse should advise the parents that this drug will be taken for: 6 months A 10 year old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that is indicates worsening of the condition decreased wheezing The mother of a 8 year old being treated for right lower lobe pneumonia at hone calls the clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and the ibuprofen is not effective. Which instruction should the nurse provide to the mother. Encourage child to lie on the right side A new parent express concern to the nurse regarding SID’s. She asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant. back The nurse has admitted a child with tricuspid atresia. The nurse would expect the initial lab result to show A high hemoglobin. A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include Tachycardia. A toddler has been started on digoxin (Lanoxin) for cardiac failure. If the child develops digoxin (Lanoxin) toxicity, the first sign the nurse might note would be A change in heart rhythm. The nurse is checking peripheral perfusion to a child’s extremity following a cardiac catheterization. If there is adequate peripheral circulation, the nurse would find that the extremity Is warm, with a capillary refill of less than three seconds. The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. An appropriate nursing diagnosis for this child is Impaired Gas Exchange Related to Pulmonary Congestion Secondary to the Increased Pulmonary Blood Flow The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery Should be evaluated to determine if prophylactic antibiotics for dental, oral, or upper-respiratory-tract procedures are necessary. An infant with tetralogy of Fallot is having a hypercyanotic episode (“tet” spell). Appropriate management of tetralogy of Fallot includes: Place the child in knee-chest position.

Administer oxygen.

Administer morphine and propranolol intravenously as ordered. A child has had a heart transplant. The nurse recognizes that postoperative teaching has been successful when the parents state that the child is on cyclosporin A to Prevent rejection An athletic activity the nurse could recommend for a school-age child with pulmonary-artery hypertension is Golf. A child is admitted with infective endocarditis. The nurse is prepared to Start an intravenous line. The mother of a child with a heart defect is questioning the nurse about the child’s medication. When discussing the diuretic the child is on, the nurse should place an emphasis on teaching about: Close monitoring of output.

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