NUR105 M2.8: ATI- Real Life RN Nursing Care of Children: Gastroenteritis and Dehydration
Which of the following types of isolation precautions should Susan implement?NUR105 M2.8: ATI- Real Life RN
Answer: Contact
Nurse Mary gave a report to Nurse Susan; SBAR format:
S: 4 yo male pt, with his mom, admitted for dehydration
B: The pt has had diarrhea for 2 days. Has poor appetite and only had sips of fluid for more than 1 day. He is crying and reports abd pain. He attends day care full time and is potty trained but is wearing diaper briefs because of diarrhea.
A: Elevated temp of 38 degrees C, HR 120 bpm, RR 30 breaths/min. He has clear lungs, no murmurs, hyperactive bowel sounds. He is crying and has pain level of 3 using the FACES scale.
R: Admitting prescriptions for the hospital are in the computer.
Answer: The priority action based on the assessment is to initiate IV access.
Appropriate supplies to insert an IV cath for saline lock?
Answer: Image B
IV flow rate
Answer: 133 mL/hr
Correct documentation of I&O
Answer: Image D
Based on lab findings and assessment, which is the priority action?NUR105 M2.8: ATI- Real Life RN
Answer: Obtain a prescription for potassium.
Correct technique for administering IV KCl?
Answer: Administer an intermittent IV bolus of 5 mEq KCl in 100 mL 0.9% NaCl over 1 hr.
Teaching the mom about using clotrimazole cream to treat diaper rash, should include?NUR105 M2.8: ATI- Real Life RN
Answer: Dry the skin thoroughly before applying the medication.
Age-appropriate toys (SATA)
Answer: Crayons, army guys, blocks, tractor
Which of the following statements is a therapeutic response?
Answer: “There are many resources available to you while you are here. We can discuss them if you like.”
Nurse Susan is preparing to administer promethazine (Phenergan), available is 25 mg/mL.
Answer: 0.28 mL, Image B
Which of the following is the appropriate site for the IM injection?
Answer: Vastus lateralis
Nurse reviews preliminary stool culture findings and is preparing to explain the results to the mom.
Answer: “Matthew’s diarrhea will subside in 1 week.”
Discharge instructions should include
Answer: Matthew should incorporate oral rehydration with a regular diet.
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