A child is admitted to the hospital with pneumonia. The child's ...

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A child is admitted to the hospital with pneumonia. The child's oximetry reading is 88 upon admission to the pediatric floor. The priority nursing activity for this child would be to
 
  1. obtain a blood sample to send to thelab for electrolyte analysis.
  2. begin oxygen per nasal cannula at1 liter.
  3. medicate for pain.
  4. begin administration of intravenousfluids

Question 2

An appropriate nursing diagnosis for an infant with acute bronchiolitis due to respiratory syncytial virus (RSV) would be
 
  1. activity intolerance.
  2. decreased cardiac output.
  3. pain,acute.
  4. tissue perfusion,ineffective(peripheral).

[gcook]

Answer to Question 1

Answer:2
Rationale:Pulse oximetry reading should be 92 or greater.Oxygen by nasal cannula at 1 liter should be started initially.Medicatin g for pain,administering IV fluids,and sending lab specimens can be done once the child's oxygenation status has been addressed.
Implementation

Answer to Question 2

Answer:1
Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply and demand.Cardiac output is not compromised during an acute phase of bronchiolitis.Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratorydisease process.
Diagnosis

[tsand2]

Excellent

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