Author Question: A child is admitted with epiglottitis, and needs a radiograph. The nurse orders the radiograph to be ... (Read 73 times)

james0929 · **on:** Jun 28, 2018

A child is admitted with epiglottitis, and needs a radiograph. The nurse orders the radiograph to be done by:

1. Transporting the child to the Radiography department.
2. Portable radiograph in the unit's waiting room.
3. Portable radiograph in the child's hospital room.
4. Transporting the child to the Radiography department in a parent's arms.

Question 2

A seven-year-old child is admitted in sickle-cell crisis. The nurse is concerned with reducing the child's pain.

Recognizing that any activity that reduces the sickling will reduce the pain, nursing activities will include: Standard Text: Select all that apply. 1. Administration of narcotics.
2. Administration of NSAIDs.
3. Cold application.
4. Encouraging oral fluids.
5. Maintaining bed rest.

ju · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3
Rationale:
1. Traveling to the Radiography department takes the child away from emergency equipment and trained personnel.
2. Traveling to the unit's waiting room takes the child away from emergency equipment and trained personnel.
3. The radiograph should be portable so that the child remains on the pediatric unit near equipment and personnel who can perform emergency airway interventions.
4. Traveling to the Radiography department takes the child away from emergency equipment and trained personnel.
Implementation
Safe, Effective Care Environment
Application
Learning Outcome 25.2 Describe the different respiratory conditions and injuries that can cause respiratory distress in infants and children.

Answer to Question 2

1,2,4,5
Rationale 1: Narcotics, such as morphine, are used to control the pain and reduce sickling.
Rationale 2: NSAIDs may be used in combination with narcotics to control the pain.
Rationale 3: Cold application is inappropriate in this situation as it would increase the sickling.
Rationale 4: Oral fluids will help thin the blood and reduce sickling.
Rationale 5: Bed rest will reduce the oxygen requirements of the body and prevent further sickling.
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