Question Answered step-by-step The nurse is caring for an infant in the acute phase of Kawasaki…. The nurse is caring for an infant in the acute phase of Kawasaki. The current treatment plan includes intravenous immunoglobulin and aspirin. Which action should the nurse take first?a. Verify the medication prescription is correctb. Apply cool, moist cloths to soothe the skinc. Perform passive range of motion exercisesd. Obtain intake and output measurements A 10-year-old boy is admitted to the emergency department. He is unresponsive and his laboratory values include a blood sugar of 800 mg/dL (44.4mmol/L), potassium of 5 mEq/L (5mmol/L), and arterial blood gas levels of pH 7.30, HCO3 15 mEq/L (15 mmol/L), PaCO2 37 mmHg. Which intervention has the highest prioritya. Maintain strict intake and output recordsb. Administer an IV of normal saline and insulinc. Give subcutaneous regular insulin by protocold. Frequently assess the child’s respiratory effort Which nutritional information should the nurse plan to provide the mother of a 6-month-old regarding introduction of solid foods?a. Foods are best introduced by mixing them with formula and feeding them to the infant with a feeder bottleb. Begin introducing solid foods into the child’s diet after the child reaches one year of agec. Introduce fruits and vegetables simultaneously into the dietd. Foods should be introduced into a child’s diet one at a time, at 4 to 7 days intervals. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul’s respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration?a. Metabolic acidosisb. Metabolic alkalosisc. Respiratory acidosisd. Respiratory alkalosis The mother of a one-month infant calls the clinic to report the back of her infant’s head is flat. How should the nurse respond?a. Prop the infant in a sitting position with a cushion when not sleepingb. Place a small pillow under the infant’s head while lying on the backc. Position the infant on the stomach occasionally when awake and actived. Turn the infant on the left side braced against the crib when sleeping Parents bring their 8-month-old daughter to the clinic because they are concerned that she is not developing as her older brother did. Which developmental characteristic should the nurse expect an 8-month-old to exhibita. Pulls self to sitting positionb. Takes a first step alonec. Sits alone unsupportedd. Can feed self finger food During a follow up clinic visit, the mother tells the nurse that her 5-month old son who had surgical correction for tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?Evaluate infant for failure to thriveObtain a 12-lead electrocardiogramStimulate the infant to cry to produce cyanosisAuscultate heart and lungs while infant is held.   Health Science Science Nursing NURSING 102 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step The nurse is caring for an infant in the acute phase of Kawasaki…. The nurse is caring for an infant in the acute phase of Kawasaki. The current treatment plan includes intravenous immunoglobulin and aspirin. Which action should the nurse take first?a. Verify the medication prescription is correctb. Apply cool, moist cloths to soothe the skinc. Perform passive range of motion exercisesd. Obtain intake and output measurements A 10-year-old boy is admitted to the emergency department. He is unresponsive and his laboratory values include a blood sugar of 800 mg/dL (44.4mmol/L), potassium of 5 mEq/L (5mmol/L), and arterial blood gas levels of pH 7.30, HCO3 15 mEq/L (15 mmol/L), PaCO2 37 mmHg. Which intervention has the highest prioritya. Maintain strict intake and output recordsb. Administer an IV of normal saline and insulinc. Give subcutaneous regular insulin by protocold. Frequently assess the child’s respiratory effort Which nutritional information should the nurse plan to provide the mother of a 6-month-old regarding introduction of solid foods?a. Foods are best introduced by mixing them with formula and feeding them to the infant with a feeder bottleb. Begin introducing solid foods into the child’s diet after the child reaches one year of agec. Introduce fruits and vegetables simultaneously into the dietd. Foods should be introduced into a child’s diet one at a time, at 4 to 7 days intervals. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul’s respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration?a. Metabolic acidosisb. Metabolic alkalosisc. Respiratory acidosisd. Respiratory alkalosis The mother of a one-month infant calls the clinic to report the back of her infant’s head is flat. How should the nurse respond?a. Prop the infant in a sitting position with a cushion when not sleepingb. Place a small pillow under the infant’s head while lying on the backc. Position the infant on the stomach occasionally when awake and actived. Turn the infant on the left side braced against the crib when sleeping Parents bring their 8-month-old daughter to the clinic because they are concerned that she is not developing as her older brother did. Which developmental characteristic should the nurse expect an 8-month-old to exhibita. Pulls self to sitting positionb. Takes a first step alonec. Sits alone unsupportedd. Can feed self finger food During a follow up clinic visit, the mother tells the nurse that her 5-month old son who had surgical correction for tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?Evaluate infant for failure to thriveObtain a 12-lead electrocardiogramStimulate the infant to cry to produce cyanosisAuscultate heart and lungs while infant is held.   Health Science Science Nursing NURSING 102 Share QuestionEmailCopy link Comments (0)