VATI RN Nursing Care of Children 2016: Post-assignment Review Questions

VATI RN Nursing Care of Children 2016: Post-assignment Review Questions A nurse is caring for a child admitted with an acute exacerbation of asthma. Discuss the nursing care needs of this child. A nurse is performing a developmental screening on a 4-month-old infant. Identify two (2) physical and motor skills the nurse should expect to see from the infant. A nurse notes a 5-year-old client’s capillary refill greater than 4 seconds, pale membranes and urine output of 10 mL per hour. What level of dehydration is of concern? Discuss care of the client following a cleft lip and palate repair. The nurse should monitor vital signs, oxygen saturation, and pain. The infant should be kept pain free to prevent crying and stress on the repair. The site should be monitored for bleeding, infection, or crusting. The nurse should make sure that the infant does not suck on a nipple or pacifier; spoons, forks, or other objects should also be avoided. In order to prevent damage to the incision site, the nurse needs to prevent the infant from putting anything in her mouth. Specifically, for a cleft lip, the nurse should ensure proper positioning; the infant should be placed on supine and upright or on her side immediately after the procedure. Elbow restraints should be placed on the infant to prevent injury to the site. The nurse should gently aspirate the secretions of the mouth and nasopharynx to prevent complications. Normal saline or water can should be used to clean the site and an antibiotic ointment can be applied if prescribed. For a cleft palate, the infant’s position should be changed frequently to help with breathing and secretion drainage. The infant should be placed on its abdomen immediately following the procedure. IV fluids should be maintained until infant can feed. Elbow restraints can be used to prevent the infant from touching or damaging the site. Avoid putting anything in the mouth such as a straw, hard pacifier, or suction catheter. The nurse should apply oxygen via a face mask, and closely monitor for signs of airway obstruction, laryngeal spasm, or hemorrhage. A child has ingested turpentine. To address the situation should vomiting be induced? Turpentine is a hydrocarbon. For this situation, vomiting is not induced. The client needs to be intubated with a cuffed endotracheal tube prior to any gastric decontamination. It is treated with chemical pneumonia. 3. If available, create custom exam and complete 10 Board Vitals questions using the following content areas. Once you finish your custom BoardVitals Exam, send me a summary of two nursing concepts you reviewed from your Board Vitals quiz to indicate completion. Weaning from breast milk in an infant who exclusively breastfeeds happens around 6 months of age; it should occur gradually in order to avoid breast engorgement. Around this time, solid foods should be introduced. The infant should be given formula and breast milk because they are important sources of calcium, fats, and protein. Cow’s milk should be introduced at 12 months but should be limited because too much can decrease the infant’s appetite for solid foods. A general survey consists of the nurse’s first initial impression. It includes the client’s overall appearance, affect, behavior, and level of cognition, voice intonation, and speech patterns. It provides information about hygiene, development status, emotional state, and illness.