You receive a call for a "sick child." When you arrive at the scene, the child's mother tells you that her 5-year-old son has had vomiting and diarrhea for the past day and will not eat or drink anything. On exam, the child's level of consciousness appears consistent with his age. His skin is cool and pale, he is tachypneic, his capillary refill time is 4 seconds, and his heart rate is 150 beats/min. The MOST appropriate treatment for this child involves:
A) applying high-flow oxygen via pediatric nonrebreathing mask, assessing his blood glucose level, elevating his legs 12 inches, and transporting at once.
B) establishing IV access and administering a 20-mL/kg normal saline bolus, applying high-flow oxygen, administering 25% dextrose, and transporting.
C) administering supplemental oxygen, keeping the child warm, assessing his blood glucose level, transporting, and establishing vascular access en route.
D) administering supplemental oxygen, starting an IV line, assessing his blood glucose level, delivering at least two 20-mL/kg normal saline boluses, and transporting.
Answer: C) administering supplemental oxygen, keeping the child warm, assessing his blood glucose level, transporting, and establishing vascular access en route.
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The nurse observes a healthcare provider discuss an operative procedure with a client and determines informed consent was achieved
Which information was included in the informed consent process? Select all that apply. A) The provider's disapproval if the surgery is not performed B) The health problem that requires surgery C) The purpose of the surgery D) The expectations of the surgery E) Outcome if surgery is not performed
The pediatric nurse caring for a child on hemodialysis watches for potential side effects related to the alterations in the body's chemical and water balance. The nurse knows that these effects include:
Select all answers that apply. A) dizziness. B) bradycardia. C) hypertension. D) muscle cramps.
A client is experiencing nausea and vomiting 1 day after chemotherapy has begun for cancer treatment. The nurse realizes this client's nausea and vomiting would be considered:
1. anticipatory. 2. acute. 3. delayed. 4. chronic.
The agency most heavily involved with the health and welfare concerns of United States citizens is the
a. Unites States Department of Health and Human Services (DHHS) b. Public Health Service c. Health Resources and Services Administration d. World Health Organization