A nurse working on a pediatric unit teaches a student nurse that the children may require intravenous fluids to be administered through a peripheral line, a central venous access, or a peripherally inserted central catheter
The nurse further notes that on the unit, several patients are candidates for central venous access devices, including:
Select all answers that apply.
A) a child receiving chemotherapy for cancer.
B) a child receiving fluid maintenance prior to diagnostic testing.
C) a child who requires long-term intravenous access for hydration.
D) a child with pneumonia who requires intermittent medication administration.
A, C
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The nurse has been completing a nutritional assessment with an 18-month-old. The comment by the parent that would prompt the nurse to provide the parent with further education is:
1. "We allow our child to drink only pasteurized apple cider." 2. "We take the meat out of the freezer and then allow it to thaw on the counter for 2–3 hours before cooking it thoroughly." 3. "We always wash our hands well before any food preparation." 4. "We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods."
A client is undergoing a lengthy series of treatments for a skin disorder. The best method of documenting the client's experience with the treatments is for the nurse to
a. document the lesions clearly at each visit using proper terminology. b. draw the distribution and characteristics of the lesions occasionally. c. have the client record ongoing changes and include them in the record. d. photograph the lesions at each clinic visit and use them for comparison.
A client with a pressure ulcer has the following laboratory values: white blood count 8000/mm3, prealbumin 15.2 mg/dL, albumin 4.2 mg/dL, and lymphocyte count 2000/mm3 . Which action by the nurse is most appropriate?
a. Document the findings. b. Request a dietary consult. c. Place the client in isolation. d. Assess the client's vital signs.
A client who had a kidney transplant 5 days prior says to the nurse, "I am glad I did not reject my kidney." Which information should the nurse provide the client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Cell-mediated rejection takes place about 2 weeks after transplant. B. Chronic rejection may occur months after transplant. C. Chronic rejection may occur years after transplant. D. Transplant rejection does not occur until several days after transplant. E. Transplant rejection is rare in kidney transplants.