Which is the priority nursing assessment for a pediatric client ...

[awywial]

Which is the priority nursing assessment for a pediatric client who is postoperative for tonsillectomy?
 
  1. Arrhythmias
  2. Dehydration
  3. Increased blood sugar
  4. Increased urinary output

Question 2

Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?
 
  1. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g
  2. 32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1850 g
  3. 28-weeks'-gestation female infant who was on short-term oxygen, weighed 1420 g, and was treated with phototherapy
  4. 36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1800 g

[manuelcastillo]

Answer to Question 1

2
Explanation:
1. Unless the child has a heart condition prior to surgery, arrhythmias is not a possible postoperative complication
2. The child is at risk for dehydration due to deficient fluid volume related to inadequate intake after surgery. The child will anticipate having pain if she tries to swallow.
3. Increased blood sugar will result only if the child is a diabetic.
4. Increased urinary output is not an expected complication of surgery.

Answer to Question 2

1
Explanation:
1. The 28-weeks'-gestation infant on oxygen weighing 1400 g has the greatest risk of retinopathy of prematurity because of gestational age (28 weeks or less), weight (less than 1600 g), and oxygen therapy.
2. The 32-weeks'-gestation infant was not placed on oxygen, and therefore is not at risk. Risk for developing retinopathy of prematurity is lower for infants of African heritage than White infants. Congenital heart defects are not associated with ROP.
3. The 28-weeks'-gestation infant was only placed on short-term oxygen. Phototherapy is associated with hyperbilirubinemia and is not associated with ROP.
4. The 36-weeks'-gestation infant was on oxygen for a short period of time. A small-for-gestational-age baby would be more mature than an infant of the same weight but lower gestational age.

[awywial]

Thank you

[manuelcastillo]

Happy to help you