A nurse is caring for a child with Turner's syndrome. As the ...

[cdr_15]

A nurse is caring for a child with Turner's syndrome. As the nurse listens to the child's heart and lungs, she would anticipate auscultating:
 
  1. A high-pitched gurgle.
   2. A low-pitched gurgle.
   3. Wheezing in the lungs.
   4. Crackles in the lungs.

Question 2

When starting an IV on an older school-age child, which of the following considerations would not apply?
 
  1. Getting enough calories through snacks
   2. Determining which hand is their dominant hand
   3. Consultation with a child life specialist to assist with distraction and explanation of the procedure
   4. The older school-age child can assist with decisions, such as location choices for the IV and going to the treatment room or staying in their own room.

[zenzy]

Answer to Question 1

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1. A high-pitched gurgle is not noted in the lung sounds because of where the heart defect is located.
2. A low-pitched gurgle is not noted in the lung sounds because of where the heart defect is located.
3. Wheezes are not commonly heard in a child with Turner's syndrome.
4. Crackles in lungs are common in a child with Turner's syndrome because of the left-sided heart defects.

Answer to Question 2

1
Feedback
1. Getting enough calories will not be a consideration for the procedure of IV insertion.
2. If possible, do not use the dominant hand for the IV as this will allow them to continue to do homework and crafts.
3. A child life specialist is the ideal person to assist with distraction during the procedure and explaining the procedure in age-appropriate ways.
4. The older school-age child will have less stress and fear if they are able to help make decisions regarding their care, including where to have the IV inserted and whether to do it in their room or a treatment room.

[cdr_15]

Correct answers!

[zenzy]

Great! Please up vote