When caring for the child with Reye's syndrome, the priority nursing intervention is to:
a. Monitor intake and output. c. Observe for petechiae.
b. Prevent skin breakdown. d. Do range-of-motion (ROM) exercises.
ANS: A
Accurate and frequent monitoring of intake and output is essential for adjusting fluid volumes to prevent both dehydration and cerebral edema. Preventing skin breakdown, observing for petechiae, and doing ROM exercises are important interventions in the care of a critically ill or comatose child. Careful monitoring of intake and output is a priority.
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