The nurse getting an end-of-shift report on a child with status asthmaticus should question which intervention?
a. Administer oxygen by nasal cannula to keep oxygen saturation at 100%.
b. Assess intravenous (IV) maintenance fluids and site every hour.
c. Notify physician for signs of increasing respiratory distress.
d. Organize care to allow for uninterrupted rest periods.
A
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A Supplemental oxygen should not be administered to maintain oxygen saturation
at 100%. Keeping the saturation around 95% is adequate. Administration of too
much oxygen to a child may lead to respiratory depression by decreasing the
stimulus to breathe, leading to carbon dioxide retention.
B When the child cannot take oral fluids because of respiratory distress, IV fluids
are administered. The child with a continuous IV infusion must be assessed
hourly to prevent complications.
C A physician should be notified of any changes indicating increasing respiratory
distress.
D A child in respiratory distress is easily fatigued. Nursing care should be
organized so the child can get needed rest without being disturbed.
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