A child is admitted to the hospital with suspected hemolytic uremic syndrome (HUS). Laboratory results indicate elevated BUN, creatinine, and potassium. Which action by the nurse takes priority?
A.
Administer antibiotics.
B.
Apply cardiac monitoring.
C.
Insert a urinary catheter.
D.
Obtain a stool sample.
ANS: B
An elevated potassium can cause serious, even fatal, dysrhythmias. The nurse applies cardiac monitoring first for patient safety. Inserting a urinary catheter and sending a stool sample are appropriate but do not take priority. Antibiotics are not given in HUS because they exacerbate the condition.
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An 8-month-old infant is admitted to the pediatric floor of the community hospital with a blood sugar over 400 . The patient is to receive 1 unit of regular insulin subcutaneously. How will that one unit be administered?
A) It is administered orally. B) It is administered as U-5. C) It is administered with a TB syringe. D) It is administered as U-10.
The nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this?
A) "I tend to get sick in the stomach when I take antibiotics." B) "I've been told that aspirin might have caused my stomach bleed a few years back." C) "I broke out in hives and got terribly itchy when I started a new prescription last year." D) "When I fell last year, the doctor said that it might have been because of my blood pressure pills."
When caring for the preschooler, it is important for the nurse to remember that:
a. frequent use of the word no usually results from fear and stranger anxiety b. play is the main mechanism for learning c. teaching is more readily accepted from a peer or with a peer group with similar needs d. a parent or caregiver should always be with the child during treatment
During an inpatient therapy group that uses existential/Gestalt theory, feelings experienced by patients at the time of their admission to the unit are discussed
As a silence falls, one member mentions, "We have heard from several people who describe feeling angry. I would like to hear from some people who experienced other feelings.". The nurse identifies this comment as an example of the group role of: a. energizer. b. compromiser. c. encourager. d. self-confessor.