infant with epidural hematoma with skull fractures. the nurse should: - ANS implement
seizure precautions
6 month old infant - car seat teaching - ANS secure the car seat using lower anchors
and tethers instead of the seat belt.
toddler with serum lead level of 4 mcg/dL - ANS schedule the toddler for a yearly
re-screening. educate the family on ways to prevent exposure. chelation therapy is
required for level over 45 mcg/dL, and may be initiated for levels over 10 mcg/dL.
postoperative school age child with a perforated appendix repair - the nurse should
expect: - ANS absence of peristalsis, until the bowel resumes functioning. also,
cleer/green-tinged drainage from NG tube, and WBCs greater than 10,000 mm3
preparing an adolescent for a lumbar puncture - ANS apply topical analgesic cream to
the site 1 hour prior to the procedure. afterwards, place the patient in the prone position
or flat in bed for up to 12 hours to prevent postprocedural spinal headache and promote
fluids.
digoxin teaching to parents of a preschooler with heart failure - ANS brush the child's
teeth after giving the medication to prevent tooth decay. don't use kitchen teaspoons to
measure out doses. administer doses at regular intervals and monitor for s/s of toxicity.
neomycin allergy - ANS withhold MMR vaccine
tonic clonic seizure - ANS first action to take is to assist the child to a side-lying position
on the floor
substernal retractions - ANS should be reported to the provider if an infant is
experiencing this, as it indicates acute respiratory distress and increases respiratory
effort, which could quickly progres to respiratory failure.
juvenile idiopathic arthritis - ANS encourage the child to perform independent self-care;
sleep on a firm mattress; exercise large joints regularly.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LEWIS12. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.