The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which interventions should be included in the child's care (Select all that apply)?
a. Administer antibiotics.
b. Administer cough syrup.
c. Encourage infant to drink 8 ounces of formula every 4 hours.
d. Institute cluster care to encourage adequate rest.
e. Place on noninvasive oxygen monitoring.
ANS: C, D, E
Hydration is important in children with RSV bronchiolitis to loosen secretions and prevent shock. Clustering of care promotes periods of rest. The use of noninvasive oxygen monitoring is recommended.
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a. BP = 140/ 90 mm Hg b. Hgb (hemoglobin) = 7 g/dl c. hypogeusia d. presbycusis
A 29-year-old woman who gave birth to her first child yesterday had a particularly long labor but vaginally delivered a healthy infant. The nurse notes during this morning's assessment that the woman now has petechiae on her face
The nurse should understand that these lesions are a result of what process? A) Broken blood capillaries B) Hormonal changes C) Inflammation D) A temporary autoimmune response
While performing an assessment of the integument system, the nurse notes the client's eyeballs are protruding and the upper eyelids are elevated. What term should the nurse use to document this finding?
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