EAQ #4
maintain droplet and contact precautions
Which action would the nurse include in the plan for care for a 6-month-old infant with respiratory syncytial virus (RSV) who is in respiratory distress?
an increased intake of fluids
which is most important for the nurse to emphasize during discharge planning for a child after a sickle cell vasoocclusive crisis?
The child needs immediate medical attention, call 911
The parents of a 4-year-old child call and report that their child has a fever 102.6 F, is complaining of sore throat, and will not lie down, preferring to sit up and lean forward. The child is drooling and looks ill and agitated. Which guidance would the nurse provide this family?
Polycythemia
Which would the nurse expect to see when reviewing the results of a complete blood count for an infant with tetralogy of Fallot?
frequent swallowing
After a tonsillectomy, which early clinical finding would alert the nurse to suspect a possible hemorrhage?
fluid retention
An infant with a congenital heart defect is in heart failure and is receiving daily weight measurements. Which complication of heart failure would daily weights help monitor?
administering intravenous immune globin (IVIG) as prescribed
Which treatment would the nurse anticipate when caring for a preschooler with Kawasaki disease?
mold, cold air, pet dander, air pollution, and cigarette smoke.
Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks?
- administer hydroxyurea - apply oxygen via nasal cannula - administer IV hydration
Which actions would the nurse take when admitting a client having a sickle cell crisis to the nursing unit?
wheezing, tachycardia
Which assessment findings would indicate a possible asthma exacerbation?
Meconium ileus
Which clinical finding would the nurse recognize as an early sign of cystic fibrosis in a neonate?
increased heart rate
Which education would the nurse teach the parents of an infant with a cardiac defect about an early sign of heart failure?
markedly decreased breath sounds
Which finding in a client with asthma exacerbation requires the most rapid action by the nurse?
Clustering care to conserve energy
Which intervention would the nurse provide a 3-month-old infant hospitalized with respiratory syncytial virus (RSV)?
antibiotics are recommended for infants younger than 6 months with acute otitis media
Which parent education would the nurse provide for a 4-month-old infant with a newly diagnosed acute otitis media and fever?
How to organize care to support periods of rest
Which parent education would the nurse provide to decrease the workload of a baby's heart for an infant with a cardiac defect?
Shunting of blood from right to left
The nurse assess a newborn and observes central cyanosis. Which type of congenital heart defect usually results in central cyanosis?
foramen ovale and ductus arteriosus
The nurse is assessing a newborn with suspected retention of fetal structure that will result in a congenital heart defect. Which fetal structures should undergo after birth?
Extremely thick mucus causing obstructed airways.
The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiologic factor has the greatest effect on the child's health status?
performing range of motion exercises
Which would the nurse avoid in an infant with a congenital heart defect after cardiac catheterization?
