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Case Study Question 2 of 6 A 2-year-old female is brought to the Emergency Department by her mother with a 2-day history of fever, vomiting, and diarrhea.   Nurses’ Notes   0800: 2-year-old female brought to Emergency Department by her mother. Client has a 2-day history of fever, vomiting, and diarrhea. Mother reports client has had “multiple” episodes of liquid stool per day (5 to 6 times per day), decreased oral intake, and multiple emesis. Mother states, “She can’t keep much down. She has been throwing up everything.” Client is alert but irritable. She was initially crying but making very few tears. Client weighs 12 kg (26.4 pounds). Mother reports client has a diaper rash. Mother reports changing diaper only when client has diarrhea but has not had any diapers since yesterday that were only urine.   0815: Assessment of client shows skin turgor with tenting, eyes are slightly sunken, lips are pale and dry, hyperactive bowel sounds, delayed capillary refill.     Vital Signs   Time 0815 Temp 39.3°C/102.7°F temporal HR 142 RR 38 B/P 88/52 Pulse oximeter 96%   Question 2: Match each finding to indicate if the factor is consistent with mild, moderate, or severe dehydration.

A child born with Down syndrome should be evaluated for what associated cardiac manifestation?

The nurse is caring for a special-needs infant. Which intervention will be most important in helping the child reach her maximum developmental potential?

The nurse is administering a new antibiotic as ordered. The child vomits the dose after 15 minutes. What should the nurse do next?

The nurse recognizes that which of the following clients is most at risk for hypothyroidism?

The nurse is reviewing a gastrointestinal (GI) panel for a client suspected of having gastroenteritis.  The nurse should anticipate the healthcare provider will prescribe which type of antimicrobial?

Which of the following is a primary cause of adrenal cortical insufficiency?

An 88-year-old female client provides a nurse with a partial list of the medications she has been taking at home for osteopenia and rheumatoid arthritis, but she is unable to remember some of the information. The nurse provides health teaching to the client regarding their medications.  Medication Drug Class Drug Action Health Teaching Calcium carbonate Mineral supplement Treats or prevents negative calcium balance. 1 2 Non-steroidal anti-inflammatory drug Blocks enzyme used to make prostaglandins. Take with food to prevent stomach upset.  Methotrexate 3 Suppress the immune system.  Report yellowing of the skin or eyes.  Prednisone Glucocorticoid 4 Do not abruptly stop taking.  Choose the most likely option for the information missing from the drug table by selecting from the available options.  Options for 1 Options for 2 Options for 3 Options for 4 Eat a diet low in fiber Acetaminophen SERM Mimics cortisol Increase water intake Hydromorphone ARB Increases aldosterone Monitor CBC monthly Lidocaine DMARD Stimulates epinephrine Expect flank pain Naproxen GnRh Agonist Decreases glucose Answer for 1: _______ Answer for 2: _______ Answer for 3: _______ Answer for 4: _______

Which of the following is normal/reasonable adolescent behavior?

Case Study The nurse who admitted Kelli is writing a care plan for her.    Which of the following interventions would be appropriate for a client with Anorexia Nervosa? Select all that apply