The nurse in the emergency department knows that a child with bronchiolitis will be admitted if the child: (Select all that apply.)
a. Is younger than 6 months of age
b. Was a low-birth weight baby
c. Has hypoxemia
d. Has a sleeping respiratory rate of over 50 breaths per minute
e. Has an inability to tolerate oral feedings
A, C, D, E
Children with bronchiolitis are hospitalized if they are younger than 6 months of age, hypoxic, have a respiratory rate of over 50 breaths per minute, and are unable to tolerate oral feedings.
You might also like to view...
The nurse is working with a 14-year-old adolescent with an intellectual disability. The adolescent's mental age is four. In explaining an X-ray to the adolescent, the nurse should explain:
1. To the adolescent in terms appropriate to a teenager. 2. To the parents and have them explain to their child. 3. As little as possible because the child will not understand anyway. 4. Using words that are in the vocabulary of a four-year-old without talking down to the adolescent.
When examining an elderly patient, which finding should be reported immediately to the patient's primary care provider?
a. pulse of 62 beats/minute, regular b. blood pressure of 120/82 c. capillary refill of less than 3 seconds d. detection of an S3
The patient who has had diarrhea for the last 3 days has blood gases of pH of 7.1, HCO3– of 20 mEq/L, and PCO2 of 36 mm Hg. The nurse recognizes these values indicate:
a. respiratory alkalosis. b. metabolic alkalosis. c. respiratory acidosis. d. metabolic acidosis.
The nurse is assessing a patient with lung cancer. What manifestations may be noted that are indicative of hypoxia?
A) Edema B) Cyanosis C) Constipation D) Clubbing