A 3-year-old child is 24 hours postoperative after surgery f…

A 3-year-old child is 24 hours postoperative after surgery for intestinal malrotation with volvulus. The child has a central venous catheter, an NG tube to low intermittent suction, and a surgical dressing over the abdomen. Which nursing action requires immediate intervention to reduce the child’s risk of infection? A. The NG tube drainage container is labeled and placed on the floor beside the bed.

A nurse is caring for a hospitalized adolescent with Crohn’s…

A nurse is caring for a hospitalized adolescent with Crohn’s disease who reports increased abdominal pain, three episodes of loose stools overnight, and a low-grade fever. The nurse notes hypoactive bowel sounds and a mildly distended abdomen. Which of the following actions should the nurse take first to reduce the risk of complications?

A 10-year-old child with cystic fibrosis is admitted for a p…

A 10-year-old child with cystic fibrosis is admitted for a pulmonary exacerbation. The child is receiving chest physiotherapy, nebulized antibiotics, and pancreatic enzymes. The parent asks, “Why does my child have to stay in the room and can’t go to the playroom like other kids?” Which of the following is the best response by the nurse?

A 4-year-old child is 12 hours postoperative from a bowel re…

A 4-year-old child is 12 hours postoperative from a bowel resection for Hirschsprung disease. The child is on strict I&O, has a Foley catheter, a surgical abdominal drain, and an IV running at 80 mL/hr. Which task should the RN assign to the unlicensed assistive personnel (UAP)?

A 10-month-old infant is brought to the emergency department…

A 10-month-old infant is brought to the emergency department with a 2-day history of nasal congestion, low-grade fever, and a “barking” cough. On assessment, the infant is alert, has inspiratory stridor at rest, moderate suprasternal retractions, and an oxygen saturation of 94% on room air. The healthcare provider prescribes nebulized racemic epinephrine and corticosteroids. Which nursing action is the priority?