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A patient with chronic ischemic heart disease reports chest pain and shortness of breath. Which action should the nurse take first?

Nurses must monitor patients receiving hypotonic solutions because they are at high risk for which condition?  

Fluid restriction is commonly used in patients with hypernatremia

The patient has vancomycin 1,250 mg ordered once daily for an infection. The vancomycin is available in 250 mL of NS and should infuse over 2 hours. Using an IV pump, how many milliliters per hour should the vancomycin be infused? ___________

The nurse is interviewing the parents of  a 2-year-old being evaluated for possible meningitis. As she gathers the child’s health history, which previous illness would raise her suspicion of pneumococcal meningitis?

Four year old, placed in Buck’s extension traction for Legg-Calvé-Perthes disease, is crying with pain as the nurse assesses that the skin of the right foot is pale with an absence of pulse. What should the nurse do first?

The nurse is caring for a thirteen-year-old boy who has just had his arm fracture casted due to a bike accident. She is aware that monitoring the limb below the injury is critical to ensure proper healing and prevent complications. Which of the following assessments is least crucial for the nurse to perform on the area distal to the injury?

A 7-year-old male patient is being evaluated for seizures. While in the child’s room talking with the child’s parents, you notice that the child appears to be daydreaming. You time this event to be 10 seconds. After 10 seconds, the child appropriately responds and doesn’t recall the event. This is known as what type of seizure?*

A patient with juvenile idiopathic arthritis has been prescribed steroid medications. During the follow-up assessment, the nurse finds that the patient may have developed side effects from the drugs. Which finding(s) is consistent with the nurse’s conclusion? Select all that apply.

While working in the primary care clinic, the RN obtains the following information about an 8-year-old patient with type 1 diabetes. Which finding is most important to address when planning child and parent education?