Exam (elaborations) N5315 Advanced Pathophysiology

NCLEX A nurse is witnessing informed consent for a procedure on a toddler. Who may legally this client? The parents or the guardian A baby has been diagnosed with hemophilia. The mother reports that the child had sta and recently stopped. You recognize the child is potentially suffering from bleeding into would instruct the mother to: (Select all that apply): a. Apply ice to the affected area. b. Administer Tylenol (acetaminophen). c. Put a gate across the stairs. d. Apply knee and elbow protectors. Answer: a and d What information regarding strategies to decrease the spread of infection should the n the parents of a child with Respiratory Syncytial Virus (RSV)? Respiratory syncytial virus (RSV) RSV is a virus that causes upper and lower respiratory tract in cause bronchiolitis and pneumonia in young children and infants. Signs and symptoms of RSV often resemble the common cold and may include: ␣ Stuffy or runny nose (Nasal discharge is usually clear) ␣ Low grade fever or chills ␣ Cough ␣ E ␣ Rapid breathing or wheezing ␣ Listlessness, inactivity, decreased interest in surroundings ␣ RSV can be spread when an infected person coughs or sneezes into the air, creating virus-contai that can linger briefly in the air. Other people can become infected if the droplet particles conta mouth, or eye. Steps that can be taken to help prevent the spread of RSV: Cover their coughs and sneezes Wash their hands frequently and correctly (with soap and water for 20 seconds) Avoid sharing their cups and eating utensils with others Refrain from kissing others. Cleaning contaminated surfaces (such as doorknobs) may help stop the spread of RSV. A nurse is caring for a client diagnosed with leukemia that is undergoing chemotherap nursing interventions related to the following complications of chemotherapy: Constip anorexia, hemorrhagic cystitis, alopecia. Nursing intervention for Constipation: Encourage a diet high in fiber. » Administer stool softene needed. » Encourage fluids. NI for Foot drop » Use a footboard in bed. » Weakness and numbness of extremities » Assist with NI for anorexia: Monitor fluid intake and hydration status. › Provide small, frequent, well-balan Involve the child in meal planning. › Administer enteral nutrition if needed. › Weigh the child da electrolyte values. › Administer chemotherapy early in the day. NI for hemorrhage crisis: Encourage fluids. Encourage frequent voiding. › Administer chemotherapy early in the morning to promote adequate fluid intake and voiding. › Administer mesna (Mesnex) to provide protection to the bladder.