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A parent asks the nurse what can they do for their child who has complaints of itching under their cast. What education would the nurse provide? 

Case Study Question 5 A 12-year-old boy is brought to the emergency department by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease   Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs:   Time 1005 Blood Pressure 98/60 Heart Rate 124 bpm Respiration Rate 30/min Temperature 99.1°F (37.3°C) Pulse Oximeter 98% on room air Laboratory Results  Basic Metabolic Panel (BMP): Lab Value Results Time 1015 Range Blood glucose 486 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 0.4-1 mg/dL   Arterial Blood Gas (ABG): Lab Value Result Time 1015 Range pH 7.25 7.35-7.45 PCO₂ 28 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 80-100 mm Hg SaO₂: 98 % 95-100 %   Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 The provider has seen the client and has placed the following orders: Provider orders:  500mL 0.9% normal saline bolus Continusous IV insulin infusion at 0.1unit/kg/hr Cardiac monitoring Frequent blood glucose checks Oxygen via nasal cannula to keep oxygen saturation 95% or greater Repeat blood work ABG and BMP in 4 hours Question 5: Which order should the nurse implement first? 

Case Study Question 6 A 12-year-old boy is brought to the emergency department by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease   Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs:    Time 1000 Time 1400 Blood Pressure 98/60 102/67 Heart Rate 124 bpm 94 bpm Respiration Rate 30/min 21/min Temperature 99.1°F (37.3°C) 98.8°F (37.1°C) SpO₂ 98% on room air 98% on room air   Laboratory Results  Basic Metabolic Panel (BMP): Lab Value Results Time 1015 Results Time 1400 Range Blood glucose 486 mg/dL 240 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.1 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 102 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 22 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 1 mg/dL 0.4-1 mg/dL Arterial Blood Gas (ABG): Lab Value Result Time 1015 Result Time 1400 Range pH 7.25 7.34 7.35-7.45 PCO₂ 28 mm Hg 33 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 20 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 95 mm Hg 80-100 mm Hg SaO₂: 98 % 98% 95-100 % Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 Question 6: Based on the client’s current assessment findings 4 hours after treatment, mark each finding as (1) Improved, (2) Declined, or (3) Remains unchanged.

An infant is suspected to have a diagnosis of hydrocephalus. Which of the following assessment findings would indicate hydrocephalus? Select all that apply.

A school nurse and teacher collaborate about an adolescent who has a developmental delay about noticing a recent change in the child’s behavior, noting that they have become disengaged in class, do not appear to have a group of friends, and make negative self-comments. Which of the following recommendations should the nurse present to the child’s parents to address these concerns?

A nurse is creating a plan of care for a child diagnosed with an arteriovenous malformation (AVM). Which of the following factors should the nurse identify when planning interventions? Select all answers that apply.

A 4 year old child is found unresponsive. Place the following actions in the correct sequence to perform one rescuer CPR after the scene is safe, the child has been assessed for unresponsiveness, and help has been called. 

Case Study Question 4 A 12-year-old boy is brought to the emergency department by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease   Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs:   Time 1005 Blood Pressure 98/60 Heart Rate 124 bpm Respiration Rate 30/min Temperature 99.1°F (37.3°C) Pulse Oximeter 98% on room air Laboratory Results  Basic Metabolic Panel: Lab Value Results Time 1015 Range Blood glucose 486 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 0.4-1 mg/dL   Arterial Blood Gas (ABG): Lab Value Result Time 1015 Range pH 7.25 7.35-7.45 PCO₂ 28 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 80-100 mm Hg SaO₂: 98 % 95-100 %   Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 Question 4: Which interventions should the nurse anticipate will be included in the provider orders? Select all that apply.

A nurse is taking care of a child who just experienced a generalized seizure. Which of the following is the priority action for the nurse to take? 

The nurse caring for a toddler is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?