The heart rate for a 3-year-old child with a congenital heart defecthas steadily decreased over
The heart rate for a 3-year-old child with a congenital heart defecthas steadily decreased over the last few hours, and is now at 76 beats/minute. The previous reading 4 hours ago was 110 beats/minute. Which additional clinical finding should be reported immediately to the healthcare provider -Oxygen saturation of 94% -Respiratory rate of 25 breath/minute -Urine output of 20ml/hour -Blood pressure of 70/40 mmHg The nurse is preparing to administer medications for an eight-month-old with heart failure. The infant has a blood pressure of 114/66 mmHg, apical pulse of 88 beats/minute, respirations of 30 breaths/minute. Which medication should the nurse withhold until the healthcare provider is notified -Furosemide -Enalapril -Hydralazine -Digoxin When inspecting the spine of a 10-year-old, the nurse notes a concave curvature at the back of the neck. How should this finding be classified? -Indicative of skeletal immaturity -Normal -Abnormal -Minor deviation A father brings his 3-year-old daughter, who has a history of asthma, to the emergency department because her wheezing has increased over the past two days. The father has been giving the child’s medication using a metered-dose inhaler. Which information is most important for the nurse to obtain? -If a spacer device is attached to MDI -If the child has recently had a common cold -Whether or not cool-mist is administered -The child’s current dietary intake The nurse is assessing a school aged child’s visual acuity using a Snellen chart. The child cannot identify several letters and numbers on the chart at a distance greater than 20 feet. Which action should the nurse implement? -Use artificial tears in the child’s eyes and repeat the test -Report the findings to the healthcare provider -Ask the child about the ability to read words clearly -Listen to the child’s articulation of common words Health Science Science Nursing NURSING 102 Share QuestionEmailCopy link Comments (0)
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