Which independent nursing action is appropriate for a 2-month-old infant who is a direct admission to the pediatric unit with a diagnosis of ALTE (apparent life-threatening event)?
1. Place the child on an apnea monitor.
2. Place the child on nasal cannula oxygen.
3. Draw blood for arterial blood gases.
4. Place the child on contact isolation.
1
Explanation:
1. This is appropriate monitoring of the infant.
2. Oxygen is a dependent order except under emergency situations. There is no evidence the child needs oxygen.
3. Laboratory tests are not an independent action.
4. There is no indication of a respiratory infection. At this time, contact isolation is not indicated.
You might also like to view...
In a supervision session, several of the nurses discuss methods for preventing agitated and angry outbursts in clients diagnosed with dementia. One nurse appropriately suggests:
1. Ignoring the behavior. 2. Distraction or a quieter environment at the first sign of agitation. 3. Attempting a rational discussion of the issue with the client. 4. Distraction and engagement in high-energy activities.
The nurse is to administer 15 mg of morphine liquid to the patient. How much morphine liquid will the nurse draw up to administer to the patient?
Morphine sulfate oral solution (CONCENTRATE) 100 mg/5 mL (20 mg/mL) CII only a. 0.5 mL b. 0.75 mL c. 1.3 mL d. 1.5 mL
The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?
a. 9 A.M., 1 P.M., 5 P.M. and 10 P.M. b. 9 A.M. and 9 P.M. c. 9 A.M., 1 P.M. and 5 P.M. d. Nightly before the patient goes to sleep
Alpha-1 antitrypsin deficiency should be considered in patients diagnosed with:
A. Exercise-induced cough B. Bronciectasis C. COPD D. Pericarditis