Author Question: The nurse has been caring for a child on the pediatric floor and notes that the child's PMI has ... (Read 42 times)

imowrer · **on:** Jun 27, 2018

The nurse has been caring for a child on the pediatric floor and notes that the child's PMI has shifted to the midline. The nurse is aware that this can indicate:

1. Poor inspiratory effort by the child.
2. Pneumonia in the left lung.
3. Pneumothorax.
4. Neurological integrity has been compromised.

Question 2

The nurse reminds the parents of a 6-year-old child with juvenile idiopathic arthritis (JIA) that the nonsteroidal anti-inflammatory drugs (NSAIDs) that are given for pain relief should be given:

a. Early in the morning on an empty stomach
b. Between meals
c. Whenever the child experiences pain
d. With meals

lucas dlamini · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Feedback
1. Point of maximum impulse is the heart's sounds.
2. Pneumonia may mask the heart's sounds, but should not indicate a shift in the PMI.
3. Air is very heavy and will shift the heart to the midline of the sternum, resulting in a shift of the point of maximum impulse.
4. PMI does not refer to any neurological alterations.

Answer to Question 2

D
NSAIDs should be given with meals to avoid gastric irritation.