A nurse applies a 5-lead cardiac monitor to a 4-year-old chi…

A nurse applies a 5-lead cardiac monitor to a 4-year-old child admitted for episodes of syncope. The monitor displays an irregular rhythm that does not correlate with the child’s apical pulse. The child is alert, playing, and has warm extremities with a capillary refill of 2 seconds. Which action should the nurse take first?

Case Study #2 Olive is a 3-year-old girl who has Down Syndro…

Case Study #2 Olive is a 3-year-old girl who has Down Syndrome and unrepaired Tetralogy of Fallot. She is being seen in the pediatric cardiology clinic for a pre-procedural exam. The following vital signs are obtained: Weight: 27.5 lbs T 98.7 (axillary) HR 88 RR 22 BP 100/60   The nurse is teaching Olive’s mother about signs of digoxin (Lanoxin) toxicity. Which is a common sign of digoxin toxicity?

Case Study #1 Rebecca is a 6-year-old girl with cystic fibro…

Case Study #1 Rebecca is a 6-year-old girl with cystic fibrosis. She arrives at the pediatric cystic fibrosis clinic for her routine 3-month appointment. The nurse obtains and calculates the following growth parameters:               Weight: 33 lbs (15 kg) (< 5%)               Height: 42 in (106 cm) (5%) Her parents report specks of blood in her sputum after chest physiotherapy. Her forced expiratory volume in 1 second (FEV1) has decreased 25% from her visit 3 months ago. Rebecca has clubbing of both her finger and toe nails.     How would the nurse best interpret Rebecca’s decreased FEV1?

Directions: Answer TWO of the following three questions. Cle…

Directions: Answer TWO of the following three questions. Clearly label your responses. Each response should be approximately 1–2 well-developed paragraphs (150–250 words). No outside sources or formal in-text citations are required. However, support your interpretation with specific references to the literature. You do not need to reproduce lengthy quotations from memory.