The nurse is caring for the child 14 days after admission brain

Turn the client and recheck the reading. B) Administer pain medication as prescribed. Place the infant in an infant seat for 2 hr following the procedure. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 The client is at highest risk for developing _____________ as evidenced by the client's _____________________. m. Increased respirations with apnea, The nurse is assisting in providing a class to new mothers on newborn care. Oral bite prevention device 2. 0 (12 reviews) 1. What area of the brain will have developed cerebral edema? 1. When taking a health history from the Study with Quizlet and memorize flashcards containing terms like Three days after discontinuing diazepam with medical guidance, an older adult continues to demonstrate impaired memory and confusion. [ 2 ] This chapter will discuss causes and types of depression, treatments for depression, and steps for applying the nursing process when caring for clients with depressive disorders. Nurses' Notes. Which assessment would require the nurse to intervene? 1. Study with Quizlet and memorize flashcards containing terms like The parents of a 16 year old child tells the nurse that they are concerned because the child sleeps until noon every weekend. Which of the following responses should the nurse make?, A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. Focus on Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a hospitalized toddler who is having a temper tantrum. Select 6 statements by the parent that indicate an understanding of the discharge teaching. Restraining the client's limbs 3. 8°F). , A client is recovering at home after suffering a brain attack (stroke) 2 weeks ago. a. A cerebrovascular accident is a sudden loss of brain functioning resulting from a disruption of the blood supply to a part of the brain. Which actions should the nurse take? Select all that apply. Which is the most appropriate nursing responce?, A 16 year old child is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Study with Quizlet and memorize flashcards containing terms like A patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Monitoring for complaints of bone pain. 6 g/dL (36 g/L); and pulmonary arterial wedge pressure, 10 mm Hg. Inability to swallow 2. Nov 13, 2023 · In the context of a nurse caring for a child patient who was admitted four days ago, the first action to be addressed should indeed be, B) Assessing the child's vital signs. 7 lb) Urine The nurse is caring for the child 4 days after admission. A nurse is caring for a client with a brain tumor and increased intracranial pressure (ICP). Which prescribed medication should the practical nurse (PN) administer to Study with Quizlet and memorize flashcards containing terms like The nurse is preparing for the admission of a 9-year-old client with new-onset tonic-clonic seizures. Which action is most important for the nurse to take? 1. Jun 26, 2024 · A patient with right hemisphere stroke has a nursing diagnosis of unilateral neglect related to sensory perceptual deficits. The child has difficulty eating using regular utensils and requires a lot of assistance. Which of the following actions should the nurse take? A) Assess the child's vital signs and airway. Although hospitalization is a stressor, the 7-year-old child will have less separation anxiety than a 15-month-old toddler. Which intervention is most appropriate to After brain surgery children are cared for in PICU or HDU as they need close supervision and lots of nursing care. The nurse should assess the infant for which early sign of HF? 1. History of facial tics b. 42 volume fraction); albumin, 3. " c. Mottling of skin 4. b The nurse is caring for a toddler who is scheduled for an outpatient lumbar puncture. Fever may be a sign of infection or other The nurse should initiate airborne precautions for a child who has varicella because it is spread through droplets in the air. have several other nurses help hold the infant. 5 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse at a long-term care facility provides care for a client who has had recent transient ischemic attacks (TIAs). Suction equipment Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse educator working in the emergency room monitors the admission of children. The patient's speech is fragmented and incoherent. respiratory alkalosis. When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply. The client can function without any sense of anxiety. 8 kg (37 lb) 1300: Temperature 35. , The nurse is assessing a 22-month-old child who is thought to be autistic. Statistically, for which disorder would children younger than 5 years most commonly be admitted? A) Mental health problems B) Injuries C) Respiratory disorders D) Gastrointestinal disorders, 2. Which action by the nurse would be appropriate? explaining the procedure with a picture and diagram to ensure cooperation of the toddler having a child life specialist interact with the toddler before and during the procedure reminding the toddler that privacy will be maintained by a gown or blanket during 4. For which admission diagnosis, should the nurse educator encourage the emergency room staff to be the most prepared? A) Mental health problems B) Injuries C) Respiratory disorders D) Gastrointestinal disorders, The nurse is caring for a 7-year b. the child shouldn't be staying up so late at night 3. Position the client with the head turned toward the side of the brain tumor. Identify her parents and state her own name. What recommendation would the nurse include in the child's plan of care? A. The nurse is caring for a 6-year-old boy with non-Hodgkin lymphoma who is being treated with monoclonal antibodies. Assessment reveals an ICP reading of 66 . Many children stay in an intensive or high dependency unit for the first few days. Upon admission to the emergency department, the child has difficulty breathing. Fosphenytoin (Cerebyx) C. Study with Quizlet and memorize flashcards containing terms like After reviewing the information in the medical record, the nurse should identify that the child is at risk Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like 1. Select all that may apply. 8^∘C (101. The nurse should first address the client's ( temperature saturated dressing urine output blood pressure Dec 19, 2022 · Recovering from brain surgery can take some time, both in hospital and at home. Administer stool softeners. The nurse notes respirations 14 per minute, BP 108/88, HR 76. A nurse is assisting with the clinical examination for determination of brain death for a client, related to potential organ donation. The head of the bed should be elevated 30 degrees to promote venous drainage and decrease intracranial pressure. respiratory acidosis. Padding on the bed siderails 4. Which instruction should the nurse give the client's family? Look for signs of increase ICP. Notify the health care provider (HCP). In HDU, they might still have one to one care, or very close nursing care. The nurse caring for the client 48 hours after admission reviews the client's laboratory results: urine specific gravity, 1. Assessing for signs of capillary leak syndrome. Providing her with the name of a lawyer to obtain child support from the baby's father, The nurse is caring for a school-age child with cerebral palsy . Upper Right, A 6-week-old infant is diagnosed with pyloric stenosis. 1400: Provided discharge teaching to the parent and child regarding medications, skin and wound care, and psychosocial needs. Radiation 3. " Mar 18, 2019 · In this cohort, the median time from PICU admission to death of 2. The patient is lethargic, responds to voice but falls asleep readily when not stimulated. 7 lb) Urine output 15 mL. Slow and shallow breathing, 435. b Jan 9, 2023 · Endovascular MT, with or without I. This chapter provides an overview of care during the initial assessment of TBI, as well as acute-stage care after the injury. V. Four hours after admission, the nurse is checking vital signs as part of the hourly assessment. 7 Ib) Urine output 15 mL in past hour 0800: Child is awake, watching cartoons on television, and parent is at bedside. He is manifesting ataxia, nystagmus, and confusion and has a blood alcohol level (BAL) of 0. avoid positioning the patient on the affected side. Stage 3. "Your guardian will be back after taking care of your sibling. 2. The nurse is caring for a child with a suspected diagnosis of rheumatic fever (RF). Lower Left b. A. Chemotherapy 2. d) Display anger at the child Study with Quizlet and memorize flashcards containing terms like A 10-year-old male presents with low-grade fever, nausea, and abdominal pain. utilize a papoose board to restrain limbs. Obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid may be responsible for the occurrence of: a. Two days after admission, the client refuses to give any information other than name and age. 4. and more. " d. meningitis. Study with Quizlet and memorize flashcards containing terms like Three days after admission to the hospital for a brain attack (cerebrovascular accident [CVA]), a client has a nasogastric tube inserted and is receiving continuous tube feedings. How does the experienced nurse help prepare the new nurse initially to deal with dying children?, A child who knows his disease is terminal tells you that when he gets better he is going to be a doctor and cure everyone in the whole world. After surgery, the child is brought to the recovery room. Record the reading as the only action. Hold the infant's chin to his chest and knees to his abdomen during the procedure. Which interventions should be included in the plan of care? Select all that apply. C) Monitor the child's dressing for signs of infection. Cryptogenic strokes have no known cause, and other Study with Quizlet and memorize flashcards containing terms like 434. Name the president of the United States. While all the options presented in the question are essential aspects of patient care, assessing vital signs becomes the priority. Dexamethasone (Decadron) B. The chapter summarizes current practices and identifies clinical needs and knowledge gaps. TPN has been hanging for 12 hours 2. Exhibit 1 Nurses' Notes 0900: Home care consultation and supply delivery arrangements completed by the child's case manager. Urge the client to reveal more information. 1400 : Provided discharge teaching to the parent and child regarding medications, skin and wound care, and psychosocial needs. The patient reports a pain level of 4, and the nurse notes a respiratory rate of 20 breaths per minute, a heart rate of 92 beats per minute, and a blood pressure Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a five-year-old child who is scheduled for surgery to remove a brain tumor. Jun 20, 2024 · 5. 8∘F) Heart rate 124/min Respiratory rate 22/min Blood pressure 100/56 mm Hg SaO297% on room air Weight 17. TPN appears oily in consistency, The drug The nurse is caring for a patient with brain tumor-related hydrocephalus who is scheduled to undergo placement of a ventriculoperitoneal (V-P) shunt. The presence of protein in the urine. Assess the child's fluid and electrolyte balance. Which is the most appropriate nursing response? 1. Clients with supratentorial surgery should be positioned on the nonoperative side to prevent displacement of the cranial contents by gravity. The nurse determines that the child is oriented by asking the child to: 1. Study with Quizlet and memorize flashcards containing terms like What is the nurse's priority intervention when preparing for admission of a child with acute laryngotracheobronchitis? 1 Padding the side rails of the crib 2 Arranging for a quiet, cool room 3 Placing a tracheostomy unit by the bedside 4 Obtaining a recliner so a parent can stay, A 3-month-old infant is admitted to the pediatric The nurse reviews the plan of care for a child with Reye's syndrome. Upper Left d. 4. The nurse admits a patient to the critical care unit following a motorcycle crash. Signs of a bacterial infection. Surgery 4. elevate the head of the bed to 30 degrees. A nurse is caring for a child who has Tourette's disorder. which children should be placed nearest the nurse's station upon admission? a) an infant w/ acute laryngotracheobronchitis. metabolic acidosis. The nurse is taking care of a 7-year-old child with a skin rash called a papule. maintain patient on the left side with the head supported on a pillow. place all objects for care on the patient's unaffected side. A 6-year-old child being treated for bacterial meningitis and on the tenth day of antibiotic treatment 2. Orthostatic hypotension Jul 8, 2024 · Terms in this set (15) A client with a concussion is discharged after the assessment. Which of the following statements should the nurse make to explain to the child when their guardian will return? a. . "Your guardian will be back at 7 p. Unfamiliar environment b. Central venous catheter's dressing is clean and dry 3. The nurse should consider what possible explanation for the client's current status? a. Hyperactivity 3. Study with Quizlet and memorize flashcards containing terms like The nurse notes in the medical record that a client with Cushing's syndrome is experiencing fluid overload. , The nurse is caring for 4 pediatric clients. Reinforce the dressing. Keeping the curtain around the client and the The nurse is caring for the child 4 days after admission. 4∘F) Heart rate 68/min Respiratory rate 14/min Blood pressure 90/50 mm Hg SaO288% on room air The nurse is caring for the child 14 days after admission. Vital signs on admission were blood pressure 128/72 mm Hg, pulse 90 beats/min, and respirations 66 breaths/min. The nurse would assess the child most carefully for what finding? - Indications of increased intracranial pressure - An increase in the blood glucose level - A presence of protein in the urine - A decrease in the liver 1. instruct the spouse not to let the client fall asleep until the physician has assessed the client. A 4-year-old child is several days postoperative after a resection of a brain tumor. We have not been close for years. Bone marrow transplant 5. A 10-year-old child has been playing soccer and sustains a closed head injury in a collision with another player. Which information indicates that the patient is experiencing delirium rather than dementia? a. 8∘C(96. Oct 19, 2023 · The nurse should address the most abnormal findings that could potentially indicate a significant health issue. an adult with severe bleeding from a laceration in the leg. Applying for Medicare C. Assess the child's mental status. Blood transfusion, The nurse expects to find the client receiving chemotherapy for a brain tumor exhibiting which signs and symptoms The nurse is caring for the child 4 days after admission. A nurse is caring for a client who presents with a fractured wrist. The nurse examining him suspects appendicitis and checks for rebound tenderness in what quadrant? a. 5°. 7,8 Taking into account the recommended 12-hour observation period between brain death examinations, the initial brain death evaluation likely began approximately 36 to 48 hours after PICU admission, which conforms to the current guideline Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The mother of a 12-year-old with Reye syndrome approaches the nurse wanting to know how this happened to her child, saying, "I never give my kids aspirin!" What could the nurse say to begin educating the woman?, A 9-year-old diagnosed with neurofibromatosis is being evaluated for the presence of a brain tumor. Tachycardia 2. Reinforce the dressing. The nursing staff has completed the admission process, and the child's condition is beginning to stabilize. After reviewing the child's assessment, which of the following findings should the nurse address first? Temperature 38. 1 kg (37. The nurse caring for an infant with hydrocephalus would take special precaution to: a. position the infant seated on the side of table. What tests may be Study with Quizlet and memorize flashcards containing terms like A client in the intensive care unit (ICU) has a traumatic brain injury. 6\deg F)Heart rate 100/minRespiratory rate 20/minBlood pressure 98/56 mm HgSaO2 97% on room airWeight 16. c) Punish the child after the tantrum. Soft arm and leg restraints 5. d) a child w/ idiopathic thrombocytopenia purpura who requires transmission Question. TPN fluid is room temperature when beginning administration 4. The parent of the child asks the nurse why the child needs the medication. It’s difficult to say how long your child will spend on the ward. Assessing the child's hydration status secondary to vomiting. During the patient's rehabilitation, it is important for the nurse to. d. The nurse prioritizes the nursing interventions included in the plan and prepares to monitor for: 1. The nurse is providing discharge teaching to the child and their parent 36 days after admission. Which of the following are appropriate interventions to help control ICP?, Level of consciousness (LOC) can be assessed based on criteria in the Glasgow Coma Scale (GCS Study with Quizlet and memorize flashcards containing terms like 1. Comparing the given observations to normal values for a child, it can be seen that the most remarkable finding is the temperature of 38. Exhibit 1Exhibit 2Exhibit 3Graphic Record0800:Temperature 37\deg C (98. Which of the following actions should the nurse take? A. Study with Quizlet and memorize flashcards containing terms like The nurse is explaining to a client's family how vasogenic brain edema occurs. metabolic alkalosis. The nurse should assess the child for which sign that would indicate that brainstem involvement occurred during the surgical procedure? 1. Explanation: In the given context, the information provided about the child's temperature is only mentioned in Celsius (°C). Which of the following information Depression is a common illness affecting an estimated 8% of adults in the United States annually. CN May 10, 2024 · Cerebrovascular accident or stroke is the primary cerebrovascular disorder in the United States. The client is able to use the anxiety constructively. Exhibit 1 Graphic Record 0800: Temperature 38. Which conclusion will the nurse draw based upon the laboratory results? Study with Quizlet and memorize flashcards containing terms like A man who has been admitted numerous times for alcohol detoxification is found wandering in the street and is unable to identify himself or his home address. Nov 27, 2023 · Final answer: The temperature of the child at 0800, 14 days after admission, would be 2) 98. A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. What is the nurse's best action? A. The child's caregivers indicate that they are concerned that the child will have a difficult time adjusting post-surgery. The nurse is caring for a client on the rehabilitation unit who has hearing loss. The patient was oriented and alert when admitted. What should the nurse do to best evaluate whether the feeding is being absorbed? 1) Aspirate for a residual volume. adolescents love to sleep late in the morning 2. if the child eats properly, that shouldn't be A nurse is caring for a preschooler whose guardian is going home for a few hours while another relative stays with the child. The nurse is caring for a child who has been hospitalized for 6 days and whose caregivers are unable to stay with the child. Altered hearing ability 4. Signs of hyperglycemia. 5° F), and is 5 days ago · The school-age child is accustomed to separation from parents. 8 kg (37 lb)1300:Temperature 35. 3. This behavior in the child is an example of which stage of separation? The best explanation of the injury by the nurse would be that: Bruising on the surface of the brain occurred. The child cried most of the day for the first 3 days but now is quiet and withdrawn. Graphic Record 0800: Temperature 37∘C(98. The nurse is caring for the child 14 days after admission. It is a functional abnormality of the central nervous system. The nurse relays that the most common cause of SCI is. The best response would be: The brain receives 15% of the body's resting cardiac output and consumes 20% of its oxygen. Adolescents require about 1,000 to 1,200 mg of calcium each day. The nurse is caring for a 7-year-old girl hospitalized in The nurse is caring for a patient admitted to the hospital with a fractured femur and possible head injury. All 50 states in the United States recognize uniform criteria for brain death. In most PICU’s visiting hours for parents or carers are very flexible. Which intervention should the nurse include in the care plan to reduce ICP? Encourage coughing and deep breathing. "It is fine if my parent dies. b. The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Teenagers have a need for increased calories, zinc, calcium, and iron for growth. Notify the health care provider (HCP). Tell the client that the hospital is a safe place. Place a warm blanket on the child. c) an adolescent in sickle cell crisis who is using pt-controlled analgesia. b) Offer material or emotional bribes. ) a. thrombolysis. Confusion. the 3 to 4. Benzodiazepines can occasionally cause permanent alterations in personality and level of consciousness. Apr 20, 2014 · The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse understands that this child's respiratory rate is the result of the body's attempt to compensate for: a. Which information is most important for the nurse to include when explaining the purpose of the procedure. Asking her parents for financial aid D. Institute measures to minimize crying. A nurse is assisting in caring for a client brought into the emergency department (ED) by ambulance. The nurse working in the emergency room monitors the admission of children. 5 hour window for I. What is the best action by the nurse to address the caregiver's concerns?, A 12-year-old patient presents Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving total parenteral nutrition (TPN). 8°C (101. Cough 3. A nurse is caring for a preschooler who was recently admitted to a pediatric unit. Positioning the client to the side, if possible, with the head flexed forward 5. assess the client for additional signs/symptoms of increased intracranial pressure. Tachycardia 4. 6° F. The nurse is caring for a 3-year-old female with an altered state of consciousness. The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). Which medication does the nurse anticipate administering? A. Help the client develop a safety plan. The client identifies the physical effects of the anxiety. Move the victim to a safe area away from the snake and encourage the victim to rest. A client asks the nurse if the brain is always receiving oxygen. This is considered a fever in children. Community health services (GPs, ambulance crews, NHS walk-in or minor injury centres, dental practitioners) and inpatient units without an emergency department should refer people who have sustained a head injury to a hospital emergency department, using the ambulance service if necessary, if there are any of Study with Quizlet and memorize flashcards containing terms like 1. 8^∘F) Heart rate 124/min Respiratory rate 22 / min Blood pressure 100/56 mm Hg SaO_2 97 % on room air Weight 17. a child with lacerations on the arms and legs. State her full name and phone number. the nurse should also instruct the client that the best time to perform a TSE is after a shower or bath when the hands are warm and soapy and the scrotum is warm. Oct 19, 2023 · The nurse is caring for the child 14 days after admission. 29%. Removing the pillow and raising padded side rails 4. The nurse is caring for the child 4 days after admission. Exhibit 1. meningocele. What is the most realistic approach for the nurse to use to manage the child's temper tantrum? a) Offer disapproval and then ignore the tantrum. 8∘C(101. The nurse should: contact the physician. A V-P shunt redirects the cerebrospinal fluid (CSF) from the ventricles to the peritoneum. The incubation period for varicella is 2 to 3 weeks, and the child is contagious even before lesions appear. After receiving reports from the night shift, which child should the nurse assess first? 1. Which intervention should the nurse perform immediately? 1. Q-Chat. Which of the following actions should the nurse include in the child's plan of care? 1. Which intervention should the nurse include in the care plan to reduce ICP?, A client is sitting in a chair and begins having a tonic-clonic seizure. The child has returned to the unit following the procedure. Present muscular weakness d. Place the client supine. Chapter 33 PrepU Questions. 6∘F) Heart rate 100/min Respiratory rate 20/min Blood pressure 98/56 mmHg SaO297% on room air Weight 16. Oxygen delivery system 3. The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic A nurse plans care for the patient with increased intracranial pressure with the knowledge that the best way to position the patient is to. After that they are usually looked after on the children’s ward. align the limbs. Pallor 2. Teenage boys who are active require between 2,000 and 2,500 calories per day. A nurse is caring for a client who has meningitis, a temperature of 39. Assessment findings by the nurse include blood pressure 100/50 mm Hg, heart rate 58 beats/min, respiratory rate 30 breaths/min, and temperature of 100. Teenage girls who are active require about 1,800 calories per day. Which of the following additional client findings should the nurse expect the client's partner to The nurse is caring for a child after surgical removal of a brain tumor. The most appropriate nursing response is to:, An osmotic diuretic such as mannitol is Jun 29, 2024 · The nurse caring for the child notes a respiratory rate of 48 breaths per minute. Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for an infant at the 6-month well child visit. The patient is oriented to Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a neonate that is 3 hours old and should assess for which signs of cold stress? Select all that apply. The parent states that the child was unconscious for 5 minutes. prepare the client for EEG testing. In Feb 1, 2022 · Acute injury management immediately following traumatic brain injury (TBI) focuses on minimizing complications, identifying sequelae, and optimizing long-term outcomes. hydrocephalus. Assess the child's respiratory status. B. Which clinical finding should the nurse expect to assess with this type of skin rash? a. Phenytoin (Dilantin) The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. thrombolysis, is an additional standard of care for AIS resulting from large vessel occlusion. Assess the child's pain level. Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a terminal illness and a family member asks why the client's mouth is continually open. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with a brain tumor and increased intracranial pressure (ICP). "My parent is suffering with cancer and death will be a relief of the pain. May 18, 2023 · Community health services and inpatient units without an emergency department 1. The nurse must implement interventions to help control intracranial pressure (ICP). Patient history of seizures c. The client's partner reports finding the client lying on the kitchen floor with movements of the whole body and urine all over the floor. 015; urine output, 50 mL/hr; hematocrit, 42 (0. Stand or sit in the client's line of vision. a) after a shower or bath rationale the nurse needs to teach the client how to perform a testicular self-examination (TSE) the nurse should instruct the client to select a day of the month and perform the exam on the same day each month. 2. Oct 19, 2023 · The nurse is caring for the child 14 days after admission. Seizure prophylaxis is the practice of administering anticonvulsant medications to clients with head injury to prevent seizures. After reviewing the child's assessment, which of the following findings should the nurse address first? Complete the following sentence by using the lists of options. b) a child w/ comminuted fractures of both legs. "There is no way I can stay in the hospital because my parent is sick. 7° C (103. This statement is most Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The parents of a 16 year old child tell the nurse that they are concerned because the child sleeps until noon every weekend. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. 4\deg F)Heart rate 68/minRespiratory rate 14/minBlood Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is aware that the client with a brain tumor can be medically managed with which treatments? Select all that apply. Generally, in PICU children have one to one (or two to one) nursing care. " b. A nurse is caring for a 5-month-old undergoing a lumbar puncture to rule out meningitis. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness. 5 days ago · Assess the client's neurologic status for subtle changes, administer acetaminophen, and then reassess the client in 30 minutes. A lesion that is elevated, palpable, firm and circumscribed; less than 1 cm in diameter b. Exhibit 1 Exhibit 2 Select the 4 findings that require 5 days ago · The nurse is caring for a client who begins to experience seizure activity while in bed. 0900: Home care consultation and supply delivery arrangements completed by the child's case manager. Provide sensory stimulation. The most appropriate information for the nurse to provide would be:, A client who is being seen in the outpatient clinic reports a single episode of unilateral arm and leg weakness and blurred The client recognizes the source of the anxiety. The nurse correctly responds that the purpose of this medication is which explanation? Provides adequate oxygen saturation and maintains cardiac output. Keep the child's head in a neutral position. The nurse finds the child irritable and lethargic, and notes that she has vomited. hematology EAQs. The nurse is caring for a postoperative older patient who received PO hydrocodone with acetaminophen (Lortab) 45 minutes prior after reporting a pain level of 8 on a scale of 1 to 10. In planning care, the nurse documents ways to minimize the obstacles to successful communication with this client. Symptom severity during the day, The nurse is caring for a child immediately after surgical resection of a brain tumor. , 2. Increased skin temperature 5. c. in past hour. 8∘F) Heart rate 124/min Respiratory rate 22/min Blood pressure 100/56 mmHg SaO297% on room air Weight 17. Odansetron (Zofran) D. Notify the charge nurse. The nurse is discussing spinal cord injury (SCI) at a health fair at a local high school. Depression is a manifestation of withdrawal. What significance should the nurse attach to the client's TIAs?, The parent of an infant who developed hydrocephalus while in utero is very concerned that the child will have significant intellectual dysfunction Posttraumatic seizures are classified as immediate (within 24 hours after injury), early (within 1 to 7 days after injury), or late (more than 7 days after injury). keep the head of the bed flat. C. 5 days was similar to previous reports. an older adult with normal vital signs, but is confused. 2) Evaluate the intake in relation 5 days ago · The spouse of a client admitted to the hospital after a motor vehicle accident reports to the nurse that the client has become very drowsy. The client's head should be in a midline, or neutral, position. The nurse notes the child is quiet and withdrawn. , A nurse is caring for a client in a clinic. Jun 26, 2024 · 14. Neurosurgery is a big operation. The nurse who is planning to assist with the procedure should. It is important for the nurse to ensure that what is in the room? Select all that apply. A child undergoes a tonsillectomy for treatment of chronic tonsillitis unresponsive to antibiotic therapy. an adult with a history of asthma and respirations of 30 breaths/min. Lower Right c. The nurse suspects intimate partner violence. 8\deg C (96. A home caregiver tells the home health nurse that the The nurse is providing discharge teaching to the child and their parent 36 days after admission. Loosening restrictive clothing 2. D. Elevated temperature 3. 1. Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse provides care for a client diagnosed with paranoia. Completing a Medicaid application B. Perform postural drainage every 2 hours. Study with Quizlet and memorize flashcards containing terms like A seasoned hospice nurse is mentoring a new nurse on the unit. [ 1] Approximately 280 million people in the world have depression. ) A 2-year-old child has been hospitalized for 4 days. Patients with a favorable ratio of salvageable brain tissue may qualify for MT up to 24 hours after the onset of stroke symptoms vs. Close the door to the client's room. spina bifida occulta. Which of the following interventions is the nurse's priority? A. E. ns rv yz ie dn up fp ro kc nv