A nurse is caring for a toddler in a pediatric clinic. Asses…

A nurse is caring for a toddler in a pediatric clinic. Assessment: 18-month visit, today: Head: The head is atraumatic and normocephalic.Eyes, ears, nose, and throat (EENT): inflamed nasal passages with watery nasal drainageCardiac: Regular rate and rhythmRespiratory: Lungs clear bilaterally, no cough presentGastrointestinal: Nontender, nondistended, bowel sounds present in all four quadrants; no nausea or vomiting reportedGenitourinary: No symptoms to reportSkin: eczema noted on face, inner elbows, and ankles. Immunization Record: 15-month visit: Nirsevimab Respiratory Syntactical Virus (Arexvy, Abrysvo) 1st doseHepatitis B (HepB) 3rd doseDiphtheria, tetanus, and acellular Pertussis (DTaP) 4th doseHaemophilus influenzae type b (Hib) 3rd dosePneumococcal conjugate (PCV15, PCV20) 4th dose 18-month visit, today:  Measles Mumps Rubella (MMR)Varicella (VAR)Influenza annual vaccine  Laboratory Results: 18-month visit, today: WBC count 7,900 mm3 (5,000 to 10,000 mm3)Neutrophils 7,250 mm3  (2,500 to 8,000 mm3)Lymphocytes 3,000 mm3 (1,000 to 4,000 mm3)Monocytes 600 mm3 (100 to 700 mm3)Eosinophils 780 mm3 (50 to 500 mm3)Basophils 54 mm3 (25 to 100 mm3) Vital Signs:  15-month visit: Temperature 37.1° C (98.8° F)Heart rate 130/minRespirations 24/minOxygen Saturation 99% on room air 18-month visit, today: Temperature 37.3° C (99.1° F)Heart rate 120/minRespirations 28/minOxygen saturation 98% on room air History and Physical: 15-month visit:  15-month-old client presents for a well-child check. Height and weight continue on the 65th percentile curve. The toddler is breastfeeding and eating various table foods such as fruits, vegetables, and grains. Parent notes that the toddler tends to have sensitive skin and occasionally gets a rash in the folds of their elbows and knees. The provider diagnosed the toddler with eczema. Reinforced education about hypoallergenic skincare and environmental controls. Standard immunizations administered per provider prescription.  18-month visit, today: 18-month-old client presents for a clinic visit. Parent reports that the toddler has been waking up at night with a hoarse, barking cough for the past 2 nights. Parent states, “They have had those patches on their skin for a while now, but the coughing at night is new. They’ve been just fine, playing and eating normally, but now they have this sudden, bad cough at night.” The nurse should recognize that the child is most likely experiencing 1. [answer1] as evidenced by their  2. [answer2].

The certified occupational therapy assistant documents that…

The certified occupational therapy assistant documents that a patient demonstrates shortness of breath and fatigue during bathing tasks.  The COTA plans to utilize relaxation breathing techniques and to modify the patient’s bathing routine for increased safety and independence in the home after discharge. The COTA should recommend which of the following modifications and strategies?

A nurse is providing education to the family of a school age…

A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child’s caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?

A nurse at an emergency department is caring for a child who…

A nurse at an emergency department is caring for a child who was admitted with cystic fibrosis. The child’s parent is given the following laboratory results: sodium 128 mg/dL (136 to 145 mEq/dL), blood glucose 268 g/dL (70 to 100 g/dL), potassium 4.2 mq/L (3.4 to 4.7 mEq/L), and oxygen saturation 88% on 2 L/min via nasal canula (95% to 100%). The parent ask how the values relate to cystic fibrosis. Which of the following statements by the nurse is accurate?