Question 39 A 3-month-old child/infant has been admitted to the emergency department with Respiratory Syncytial Virus (RSV). On assessment, you notice they have nasal congestion, mild intercostal retractions and crackles throughout both lungs. Their respiratory rate is 68 breaths per minute and oxygen saturation is 91% on 2L oxygen via nasal prongs. What intervention would be most appropriate? Question 39 options: Initiate cool mist therapy Continue with regular clinical assessment and supportive care Administer a PRN order for an inhaled bronchodilator Administer a PRN order for a nebulized epinephrine
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Question 39
A 3-month-old child/infant has been admitted to the emergency department with Respiratory Syncytial Virus (RSV). On assessment, you notice they have nasal congestion, mild intercostal retractions and crackles throughout both lungs. Their respiratory rate is 68 breaths per minute and oxygen saturation is 91% on 2L oxygen via nasal prongs. What intervention would be most appropriate?
Question 39 options:
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Initiate cool mist therapy |
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Continue with regular clinical assessment and supportive care |
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Administer a PRN order for an inhaled bronchodilator |
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Administer a PRN order for a nebulized epinephrine |
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- Question 54 A 5-month-old infant was admitted to the pediatric unit with bronchiolitis. They are currently being monitored and receiving supportive care, including supplemental oxygen. Which of the following should be included in the nurse's assessment and documentation? Select all that apply. Question 54 options: Hydration status Oxygen saturation Respiratory rate and work of breathing Findings on auscultation Feeding status6 Mr. Davis has a diagnosis of acute maxillary sinusitis. His licensed prescriber orders Biaxin 500 mg q 12 h × 10 days. How many tablets will the nurse administer per dose? Exp. Lot ⒸAbbott 03-2185-3/R5 0074336860 Store tablets at 15° to 30°C (59° to 86°F). SPECIMEN NDC 0074-3368-60 60 Tablets BIAXINⓇ FILMTABⓇ clarithromycin tablets 250 mg 2 Caution: Federal (U.S.A.) law prohibits dispensing without prescription. 6505-01-354-8582 Do not accept if seal over bottle opening is broken or missing. Dispense in a USP tight, light-resistant container. Each tablet contains: 250 mg clarithromycin. Usual Adult Dose: One or two tablets every twelve hours. See enclosure for full prescribing information. Filmtab-Film-sealed tablets, Abbott Abbott Laboratories North Chicago, IL60064, U.S.A.A 55-year-old male patient is admitted to the emergency department complaining of severe chest pain and dyspnea. The client is restless and frightened. Upon admission, the physician ordered oxygen by nasal cannula at 4L per minute, a 12-lead electrocardiogram (ECG), chest x-ray, troponin, creatinine phosphokinase, and isoenzymes blood levels. Which action should the nurse take first? Select one: a. Take the blood specimens. b. Administer the oxygen to the client. c. Obtain the 12-lead ECG. d. Call for portable radiology to obtain the chest x-ray.
- Case A comatose patient had formerly expressed a desire to have her respirator turned off if she ever required one. Her parents do not want to turn it off, but her husband does. The parents present their arguments to the administrator, chief of the medical staff, and director of nursing. Answer the following questions in a 2-3 page response: What are the legal facts of the case? What is the ethical dilemma? What standard of care is required? What are the risks to the healthcare organization if turning off the respirator? If not turning off the respirator? What options does the healthcare organization have to resolve this dilemma? What precautions should healthcare organizations take to prevent this type of ethical dilemma in the future?OPERATIONS:1. Flexible bronchoscopy2. Cervical mediastinoscopy with biopsy and thyroid isthmusectomy PROCEDURE: This otherwise normally healthy patient was brought to the operative suite and placed in supine position. After satisfactory induction of general endotracheal anesthesia, a flexible Olympus bronchoscope was passed through the endotracheal tube visualizing the distal trachea, carina, and right and left main stem bronchi of the primary and secondary divisions. No evidence of any endobronchial tumor was noted. The scope was then withdrawn. The patient was then prepped and draped in the usual sterile fashion. A shoulder roll was placed. A curvilinear incision was made above the suprasternal notch in the line of a skin crease. Dissection was carried down through the subcutaneous tissue down through the platysma muscle. The strap muscles were next identified and laterally retracted. We continued our dissection down to the pretracheal space. A partial left thyroid lobectomy…OPERATIONS:1. Flexible bronchoscopy2. Cervical mediastinoscopy with biopsy and thyroid isthmusectomy PROCEDURE: This otherwise normally healthy patient was brought to the operative suite and placed in supine position. After satisfactory induction of general endotracheal anesthesia, a flexible Olympus bronchoscope was passed through the endotracheal tube visualizing the distal trachea, carina, and right and left main stem bronchi of the primary and secondary divisions. No evidence of any endobronchial tumor was noted. The scope was then withdrawn. The patient was then prepped and draped in the usual sterile fashion. A shoulder roll was placed. A curvilinear incision was made above the suprasternal notch in the line of a skin crease. Dissection was carried down through the subcutaneous tissue down through the platysma muscle. The strap muscles were next identified and laterally retracted. We continued our dissection down to the pretracheal space. A partial left thyroid lobectomy…
- I nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…Medical History Moderate persistent asthma Allergic rhinitis Albuterol HFA inhaler two puffs every 4-6 hours as needed for symptoms Preparation for Care Activity Recognizing Clinical Relationships Review the medical history and home medications of this patient. For each home medication, identify the pharm. classification and expected outcome for this patient its most common side effect (SE). Finally, draw a line to determine which medication treats what condition. Home Meds Pharm. Classification Expected Outcome Common SE Symbicort 80/4.5 mcg two puffs BID Montelukast 5 mg every evening at bedtime Asthma Loratadine 10 mg 1 po QD KEITH SKINNY Reasoning Simulation Part I: Developing Noticing and Interpreting Skills 1. Which findings from the present problem are most important and noticed by the nurse as clinically significant? Most Important Findings Clinical Significance 2. Which data from the social history is most important and noticed by the nurse as clinically significant? Most…Mr. KB is a 56-year-old patient with 3 years history of diabetes mellitus. He is currently receiving glibenclamide. His BP during the present visit is 130/85 mm Hg and PR is 82 bpm. Clinician is planning of starting low dose aspirin in the patient. Junior specialist in Department of Medicine would like to know regarding the latest recommendation on the use of aspirin in patients with Diabetes Mellitus? Whether Mr. KB requires low dose aspirin?
- Please provide a rationale for each of these 1. Ensure that the operator wears a gown, gloves and face and eye mask because there is a high chance the patient might vomit. 2. NG tubes should not be used in patients with severe facial trauma as it can cause intracranial insertion and cause complications. 3. Consider the breathing status of a patient. If there is any change in breathing status immediately remove tube. 4. See that the patient is positioned upright to ensure a correct neck head alignment. 5. Be careful as to not to come in contact with patient blood or body fluids.Please help me to choose the letters with the CORRECT answers.1. A 3-year old was brought to the hospital due to dyspnea. Upon assessment the nurse notes for crackles, difficulty verbalizing, sternal retractions and respiratory rate of 40 cycles per minute. The nurse analyzes the collected data and identified the priority nursing diagnosis: A. Impaired gas exchange B. Ineffective breathing pattern C. Airway clearance, ineffective D. Risk for aspiration2. A person with Sickle Cell Trait would: A. Be advised to avoid fluid loss and dehydration. B. Be proacted from crisis under ordinary circumstances. C. Have chronic anemia. D. Experience hemolytic jaundice. 3. On initial assessment of the child with asthma, the nurse would observe for th following EXCEPT: A. Shortness of breath B. Rales C. Absence of wheezing D. Loose cough4. The mother asks the nurse what measures she can take to help prevent her child's asthma attacks. Which of the following suggestions by the nurse would be most…For each of the following Patient Profiles, determine the most appropriate triage category (red, yellow, green, or black), and why. patient profiles: 1. Profuse bleeding from scalp wound. - talking to you - respirations : 20/min - radial pulse : present 2. Complaining of severe back pain and pelvic pain. - tells you her back hurts - respirations : 20/min - radial pulse : present 3. Nothing obvious problem, covered in debris. - unconsious - respirations : 8/min - radial pulse : present 4. amputation of left arm - talking to you, attempting to stop the bleeding - respirations : 25/min - radial pulse : present 5. impaled object, very pale and sweaty - tells you she feel sick - respirations : 27/min - radial pulse : present