(Answered) NUR105 M2.8: ATI- Real Life RN Nursing Care of Children: Gastroenteritis and Dehydration

NUR105 M2.8: ATI- Real Life RN

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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