A child is admitted to the hospital unit with a diagnosis of Kawasaki disease. The physician writes the following orders. Which order would the nurse question?
1. Contact isolation
2. Oral aspirin (dose appropriate for weight) every eight hours
3. Echocardiogram
4. Vital signs every four hours
1
Rationale 1: The child is not contagious so contact isolation is not appropriate.
Rationale 2: Aspirin is used as an anti-inflammatory and is prescribed around the clock. This is appropriate.
Rationale 3: This exam will be used as a baseline to compare against as the child recovers, to assist in monitoring for cardiac lesions.
Rationale 4: The child will need close monitoring during the early period of the disease.
Global
You might also like to view...
The nurse is caring for a pregnant patient who does not practice or follow the Western approach to medicine. What cultural care approach should the nurse suggest to support the patient during the pregnancy and delivery?
A. Consider the use of a midwife. B. Follow daily practices to stay well. C. Schedule limited appointments with a medical doctor. D. Agree to having diagnostic studies to ensure the baby's health.
The nurse is reviewing the effectiveness of care provided to a client diagnosed with posttraumatic stress disorder. Which outcomes would indicate the interventions in the plan of care have been effective?
Select all that apply. A) The client takes a sedative at least 4 times a day. B) The client has been sleeping throughout the night. C) The client keeps all of the lights on at home. D) The client verbalizes future plans with family and friends. E) The client will not enter a car with fewer than three people.
The school nurse is screening middle-school students for scoliosis and notes that one student has a curve of 15 degrees. The nurse tells the parents that their child has:
A) prescoliosis. B) mild scoliosis. C) moderate scoliosis. D) severe scoliosis.
As you monitor J.F., you observe for signs of magnesium sulfate toxicity. What are potential
signs of magnesium sulfate toxicity? Select all that apply. a. Absent DTRs b. Increased respiratory rate c. Oliguria d. Muscle rigidity e. Severe hypotension