ATI Real Life RN Nursing Care of Children Gastroenteritis and Dehydration Advanced Test

Which of the following types of isolation precautions should Susan implement? - ANSWERSContact Nurse Mary gave a report to Nurse Susan; SBAR format: - ANSWERSS: 4 yo male pt, with his mom, admitted for dehydration B: The pt has had diarrhea for 2 days. Has poor appetite and only had sips of fluid for more than 1 day. He is crying and reports abd pain. He attends day care full time and is potty trained but is wearing diaper briefs because of diarrhea. A: Elevated temp of 38 degrees C, HR 120 bpm, RR 30 breaths/min. He has clear lungs, no murmurs, hyperactive bowel sounds. He is crying and has pain level of 3 using the FACES scale. R: Admitting prescriptions for the hospital are in the computer. Which of the following is the priority action based on the assessment? - ANSWERSInitiate IV access Appropriate supplies to insert an IV cath for saline lock? - ANSWERSImage B IV flow rate - ANSWERS133 mL/hr Correct documentation of I&O - ANSWERSImage D Based on lab findings and assessment, which is the priority action? - ANSWERSObtain rx for potassium. Correct technique for administering IV KCl? - ANSWERSAdminister an intermittent IV bolus of 5 mEq KCl in 100 mL 0.9% NaCl over 1 hr. Teaching the mom about using clotrimazole cream to tx diaper rash, should include? - ANSWERSDry skin thoroughly before applying the medication Age appropriate toys (SATA) - ANSWERSCrayons, army guys, blocks, tractor Which of the following statements is a therapeutic response? - ANSWERS"There are many resources available to you while you are here. We can discuss them if you like." Nurse Susan is preparing to administer promethazine (Phenergan), available is 25 mg/mL. - ANSWERS0.28 mL, image B Which of the following is the appropriate site for the IM injection? - ANSWERSVastus lateralis Nurse review prelim stool culture findings and is preparing to explain the results to the mom. - ANSWERSMatthew's diarrhea will subside in 1 week. DC instructions should include - ANSWERSMatthew should incorporate oral rehydration with a regular diet.