Author Question: The nurse is assessing a child that was in a motor vehicle accident, which occurred two hours ago. ... (Read 39 times)

jparksx · **on:** Jun 27, 2018

The nurse is assessing a child that was in a motor vehicle accident, which occurred two hours ago. The child's chest is not rising on the right and lacks lung sounds. The X-ray confirmed a hemothorax. The nurse should anticipate the order for:

1. A chest tube and pnuemovac.
2. IV fluids.
3. Placing a nasogastric tube.
4. None of the above would be appropriate for the situation.

Question 2

A former 24-week, premature infant is now adjusted in age to be one year of age. The baby has a known history of bronchopulmonary dysplasia.

The parents of the child are asking if their baby will catch up in height and weight to her peers by the time she is 2 years old. The best reply from the nurse would be: 1. Normally, premature infants will be the same height and weight as their peers by their second birthday..
2. The bronchopulmonary dysplasia requires your child's lungs to work harder to breath. This causes the body to have a higher metabolism, so she may remain on the small side for several years..
3. You baby is now healthy and will continue to grow at her own rate..
4. Your baby will remain small for most of her life due to the bronchopulmonary dysplasia..

gasdhashg · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Feedback
1. The pnuemovac will aid in the creation of a sterile container to help decompress the hemothorax.
2. IV fluids may be ordered eventually, but they are not a priority at this time. Airway security is the priority.
3. A nasogastric tube will not influence the hemothorax.
4. The nurse should anticipate the use of the pneumovac to help decompress the hemothorax.

Answer to Question 2

2
Feedback
1. Children with bronchopulmonary dysplasia require high nutritional demands to the body. The growth of children with this diagnosis tends to be slower than their peers.
2. Children with this diagnosis tend to be smaller than their peers for a longer period of time.
3. This is a true statement, but does not address why the child is not growing at the same rate.
4. The child's body can grow and may be the same as peers later in life.