Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung disease?
a. Monitor rectal temperature every 4 hours and report an elevation greater than
38.5° C.
b. Assess stools after surgery.
c. Keep the child NPO until bowel sounds return.
d. Maintain IV fluids at ordered rate.
A
Feedback
A Rectal temperatures should not be taken after this surgery. Rectal temperatures
are generally not the route of choice for children because of the route's traumatic
nature.
B This is an appropriate intervention postoperatively. Stools should be soft and
formed.
C This is an appropriate intervention postoperatively.
D This is an appropriate postoperative order.
You might also like to view...
When the nurse considers the effectiveness of the delegation, the nurse should evaluate all except:
a. was the task performed properly c. were there any problems b. was the outcome optimal d. the availability of resources
The chromosomal structure of human beings consists of how many chromosomes, pairs of autosomes, and pairs of sex chromosomes?
a. 46, 21, 2 c. 46, 22, 1 b. 42, 20, 1 d. 40, 18, 2
Why is staffing a more complex issue for a county health department then for a hospital?
1. Stakeholders are more varied and complex. 2. Nurses need to have a BSN. 3. Community requires a higher ratio of nurses than a hospital. 4. Personal safety is more of a concern in the hospital setting.
The first agreement between M?ori and the British Crown was called the Declaration of Independence
Indicate whether the statement is true or false.