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 thelab for electrolyte analysis.
2. begin oxygen per nasal cannula at1 liter.
3. medicate for pain.
4. begin administration of intravenousfluids
Answer:2
Rationale:Pulse oximetry reading should be 92 or greater.Oxygen by nasal cannula at 1 liter should be started initially.Medicating for pain,administering IV fluids,and sending lab specimens can be done once the child's oxygenation status has been addressed.
Implementation
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While changing the diaper on a newborn in the presence of the mother, the nurse notes a belly binder wrapped around the umbilical cord. When questioned, the mother states this is the way the umbilical area is cared for in her culture
The nurse should: 1. Accept this practice as a cultural variation and allow the mother to care for the umbilicus. 2. Explain to the mother the risks associated with belly binders and encourage her to remove it. 3. Remove the belly binder and discard it. 4. Replace the belly binder with a coin as a safer cultural practice.
The nurse is caring for a patient who is not responding to medical treatment. The intensivist holds a conference with the family, and a decision is made to withdraw life support. The nurse's religious beliefs are not in agreement with withdrawal
However, she assists with the process to avoid confronting the charge nurse. Afterward she feels guilty and believes she "killed the patient." This scenario is likely to cause: a. abandonment. b. family stress. c. moral distress. d. negligence.
The relaxation phase of the heart cycle is ____________________.
Fill in the blank(s) with the appropriate word(s).
The nurse is caring for several patients receiving oxygen by various delivery systems. Which assessment finding by the nurse indicates proper use of the oxygen device?
a. No mist is noted in a face tent. b. The reservoir of the rebreathing mask collapses on inhalation. c. The flow rate is between 1 and 6 L/min for a nasal cannula. d. The flow rate for an oxygen hood is set at 3 L/min.