After 2 days in the PICu, e.M. is transferred back to your unit. you note that she is taking increased oral flu-
ids and requiring less suctioning. Her spo2 is 96% to 98% on room air.
As you are preparing the parents for
discharge, they want to know how they can prevent this in the future. They ask whether there is a "shot"
e.M. can get to avoid getting this again.
How would you address their concerns?
RSV is a viral infection that is common in children younger than 3 years. In general, it occurs during
the winter and spring months. Palivizumab (Synagis) is currently the only product available for
RSV prevention. Palivizumab prophylaxis, a monthly intramuscular injection, is available to a select
subset of infants according to American Academy of Pediatrics (AAP) guidelines but is not used with
the general pediatric population. Breastfeeding may have a protective effect. RSV is contracted
through direct contact with respiratory secretions; therefore preventive hygiene, such as good
handwashing, is important. Maintaining current immunizations is important to avoid additional
preventable infections.
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A client has a foul-smelling stasis ulcer wound on his left ankle. Which dressing might be most beneficial for this client?
a. Transparent dressing c. Dry dressing b. Hydrocolloid dressing d. Occlusive dressing
Which of the following instructions should be provided to a client recovering from cataract surgery?
1. Avoid rubbing the eye. 2. Phone the physician with any signs of eye drainage. 3. Healing will be complete in 2 weeks. 4. Wear the eye patch the day of surgery only.
A nurse assessing the access site of a hemodialysis catheter cannot palpate a thrill or hear a bruit. What is the most likely cause of this emergency situation?
A) There is an infection at the site. B) There is trauma to the bladder. C) The access may be clotting off. D) There is leaking from the site.
A patient who has recently experienced the loss of a spouse asks the nurse if there are any over-the-counter herbs or nonprescription medications that can be used to improve insomnia. How should the nurse respond to this patient?
1. "Ginger root is commonly taken to improve sleep." 2. "Ginkgo is an herb commonly taken to improve sleep." 3. "Diphenhydramine (Benadryl) and doxylamine are over-the-counter meds sometimes taken to produce drowsiness." 4. "Valerian and melatonin are herbs commonly taken to improve sleep." 5. "Kava is an herb taken to improve sleep."