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?
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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 4-week-old infant is brought to the clinic with a history…
A 4-week-old infant is brought to the clinic with a history of projectile vomiting after feeds, constant hunger, and poor weight gain. Which diagnostic finding is most indicative of pyloric stenosis?
A nurse is providing discharge instructions to the parents o…
A nurse is providing discharge instructions to the parents of a 5-week-old infant who had a pyloromyotomy for hypertrophic pyloric stenosis. Which parent statement indicates a need for further teaching?
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?
The pediatrician discusses stepping up therapy due to increa…
The pediatrician discusses stepping up therapy due to increased symptoms. Which finding supports the need to adjust Jordan’s asthma
During a routine well-child visit, a nurse assesses an 7-yea…
During a routine well-child visit, a nurse assesses an 7-year-old child. The parent reports, “He still wets the bed a couple of nights a week and seems embarrassed when friends talk about sleepovers.” He’s also been arguing more at home and copying what older kids say and do.” The nurse notes that the child meets academic benchmarks for second grade and interacts appropriately during the visit. Which of the following should the nurse prioritize when developing a plan of care?
The nurse is providing discharge teaching to the parents of…
The nurse is providing discharge teaching to the parents of a 3-month-old infant diagnosed with gastroesophageal reflux disease (GERD). Which instruction is most appropriate to include in the teaching plan to promote comfort and reduce reflux?
A parent tells the nurse, “I am worried about my 13-year-old…
A parent tells the nurse, “I am worried about my 13-year-old son. He hasn’t started puberty, and my daughter did when she was 11 years old. The most appropriate explanation by the nurse is