The pediatric intensive care nurse understands the effects of ...

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The pediatric intensive care nurse understands the effects of stress on the critically ill child. Which factors increase stress in this population? (Select all that apply.)
 
  A.
  Communication barriers
  B.
  Consistent sleep hours
  C.
  Lighting
  D.
  Noise
  E.
  Pain

Question 2

A 36-lb (16.4-kg) patient in the pediatric intensive care unit is started on a propofol (Diprovan) infusion. The health-care provider orders the infusion started at 410 g/minute. Which action by the nurse is the most appropriate?
 
  A.
  Administer the infusion using an infusion pump.
  B.
  Consult the pharmacist about giving this drug as an infusion.
  C.
  Ensure the appropriate antidote is available bedside.
  D.
  Notify the provider that the dose is above the safe range.

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Answer to Question 1

ANS: A, C, D, E
Many things can cause stress in the child admitted to the pediatric intensive care unit, including sensory overload from light, noise, and pain. Communication barriers also cause stress in these patients. Consistent sleep hours help decrease stress.

Answer to Question 2

ANS: A
The safe dose range for propofol is 25-50 g/kg/minute, so this dose is acceptable. The nurse should administer the drug using an infusion pump. It is not necessary to check whether the drug is given as an infusion, nor is it necessary to notify the provider that the dose is out of range. Propofol is a short-acting drug with a limited half-life and has no antidote.