A child is admitted to the hospital with pneumonia. The child's oximetry reading is 88% upon admission to the Pediatric floor. The priority nursing activity for this child would be to:
1. Obtain a blood sample to send to the lab for electrolyte analysis.
2. Begin oxygen per nasal cannula at 1 liter.
3. Medicate for pain.
4. Begin administration of intravenous fluids.
2
Rationale:
1. Medicating for pain, administering IV fluids, and sending lab specimens can be done once the child's oxygenation status has been addressed.
2. Pulse oximetry reading should be 92 or greater. Oxygen by nasal cannula at 1 liter should be started initially.
3. Medicating for pain, administering IV fluids, and sending lab specimens can be done once the child's oxygenation status has been addressed.
4. Medicating for pain, administering IV fluids, and sending lab specimens can be done once the child's oxygenation status has been addressed.
Implementation
Safe, Effective Care Environment
Application
Learning Outcome 25.3 Assess the child's respiratory signs and symptoms to distinguish between mild, moderate, and severe respiratory distress, and identify the appropriate nursing actions for each level of severity.
You might also like to view...
Nurses have different educational backgrounds and function under many titles in their practice setting
If a nurse practicing in an oncology clinic had the goal of improving patient outcomes and nursing care by influencing the patient, the nurse, and the health care system, what would most accurately describe this nurse's title? A) Nursing care expert B) Clinical nurse specialist C) Nurse manager D) Staff nurse
Immediately following a barium swallow, a client noticed hives and a feeling of shortness of breath
Although there were no known allergies to food or drugs prior to this incident, the diagnosis was allergic reaction to the preservatives in the barium. Which is the correct risk category for this incident? 1. Medication error 2. Medical-legal incident 3. Procedure complication 4. This incident does not fall into a risk category.
Which of the following heart sounds is commonly heard after myocardial infarction?
A. Friction rub B. S4 C. S3 D. Opening snap
The nurse is administering amoxicillin PO to a client who has otitis media. Which of the following factors must occur for this antibiotic to be effective?
A) It must not be soluble in water. B) It must not diffuse into body tissue. C) It should not affect normal flora. D) It should not be absorbed by the GI tract.