Author Question: A child is admitted to the pediatric intensive care unit with respiratory distress and respiratory ... (Read 78 times)

go.lag

  • Hero Member
  • *****
  • Posts: 667
A child is admitted to the pediatric intensive care unit with respiratory distress and respiratory acidosis. The child's pulse oximeter reads 98. Which actions by the nurse are the most appropriate at this time? (Select all that apply.)
 
  A.
  Assess the child's most recent hemoglobin and hematocrit levels.
  B.
  Prepare for immediate intubation and mechanical ventilation.
  C.
  Request an order to use a transcutaneous carbon dioxide monitor.
  D.
  Titrate the oxygen flow rate down to prevent oxygen toxicity.
  E.
  Wait 30 minutes, then draw another sample for arterial blood gasses.

Question 2

A student nurse assesses a child for nonverbal signs of pain to report to the registered nurse. Which information should the student include? (Select all that apply.)
 
  A.
  Complaints of nausea
  B.
  Diaphoresis
  C.
  Facial grimacing
  D.
  Sleepiness
  E.
  Tachypnea



carojassy25

  • Sr. Member
  • ****
  • Posts: 299
Answer to Question 1

ANS: A, C
This child's oxygen saturation does not correlate with respiratory distress and acidosis. Appropriate actions include assessing the child's hemoglobin and hematocrit and requesting the use of a carbon dioxide monitor. If the child is anemic, even with a saturation of 98, the child will not have enough oxygen for tissue needs. The child may also have high levels of carbon dioxide causing or caused by the respiratory distress and acidosis, so this value should be monitored. The oximeter may not be working properly or reading accurately. Without further information, it is unknown if the child needs immediate intubation and mechanical ventilation. Titrating oxygen down in the face of respiratory distress is not warranted. Waiting 30 minutes is also not warranted, as this child is quite ill.

Answer to Question 2

ANS: A, B, C, E
Objective manifestations of pain include tachycardia, tachypnea, diaphoresis, sleep disturbances, hypertension, and nausea.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

For a complete list of videos, visit our video library