The pediatric nurse is monitoring a child for signs of hepatitis. Which documented assessment findings indicate that the child is experiencing the preicteric phase of this disease process? (Select all that apply.)
A.
Anorexia
B.
Hepatomegaly
C.
Jaundice
D.
Nausea
E.
Spleenomegaly
ANS: A, D
Headache, anorexia, malaise, abdominal pain, nausea, and vomiting are characteristic of the preicteric phase, which lasts approximately 1 week and usually precedes the onset of clinically detectable disease. The most common symptoms of the icteric phase are jaundice and hepatomegaly, which may last several weeks.
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The physician orders acetaminophen (Tylenol) 15 mg/kg q4 hours PRN (as needed) for pain. The drug is supplied with 160 mg/5 mL. The infant weighs 12 pounds. How many milliliter of medication will the nurse administer?
A) 2.5 mL B) 5.6 mL C) 12.4 mL D) 10.7 mL
A nurse is explaining to a patient the common feature of leukemia, which is:
A) Unregulated proliferation of white blood cells B) Unregulated proliferation of red blood cell. C) Decrease in production of white blood cells D) Decrease in production of red blood cells
Before preparing a teaching plan for the parents of an infant with ductus arteriosus, it is important that the nurse understands this condition. Which statement best describes patent ductus arteriosus?
a. Patent ductus arteriosus involves a defect that results in a right-to-left shunting of blood in the heart. b. Patent ductus arteriosus involves a defect in which the fetal shunt between the aorta and the pulmonary artery fails to close. c. Patent ductus arteriosus is a stenotic lesion that must be surgically corrected at birth. d. Patent ductus arteriosus causes an abnormal opening between the four chambers of the heart.
When you have to turn, reposition, or transfer a person, you must:
a. Use a transfer belt b. Use a lift sheet c. Use a mechanical lift d. Use your body correctly