The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include:
a. Forcing fluids
b. Monitoring pulse oximetry
c. Instituting seizure precautions
d. Encouraging a high-protein diet
B
Feedback
A Maintenance of vascular volume and hydration is important and should be done
parenterally.
B Monitoring cardiopulmonary status is an important evaluation tool in the care of
the child with ARDS.
C Seizures are not a side effect of ARDS.
D Adequate nutrition is necessary, but a high-protein diet is not helpful.
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A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline. b. Choose specific nursing interventions for the child. c. Determine appropriate nursing diagnoses. d. State nursing actions related to the child's medical diagnosis.
A dying patient is being cared for at home. The family relates to the hospice nurse that they are distressed that the patient no longer wants favorite food items. What response by the nurse is best?
a. "Dying people don't usually want to eat." b. "Your loved one won't starve to death." c. "Why do you insist of trying to feed her?" d. "Is there another way you can show car-ing?"
During a follow-up visit, if parents have progressed to the second stage or phase of grieving, nurses should not expect to see:
1. guilt, particularly from the mother. 2. numbness or lack of response. 3. bitterness or irritability. 4. fear and anxiety, especially about getting pregnant again.
A client from Southeast Asia who has been ill with influenza is admitted with self-inflicted open sores and bruising on both forearms. When questioned about the wounds, the client stated that it was done to aid in the healing process
The nurse should recognize: 1. This may be a cultural practice. 2. The client is delusional. 3. The client belongs to a cult. 4. The cause of the wounds is unimportant.