« previous next »

Author Question: The student nurse is preparing to perform an assessment on a 5-year-old Arab American client who is ... (Read 184 times)

Frost2351

  • Hero Member
  • *****
  • Posts: 557
on: Jun 25, 2018
The student nurse is preparing to perform an assessment on a 5-year-old Arab American client who is hospitalized for dehydration. The nurse preceptor accompanies the student nurse to the client's room.
 
  Which statements by the student nurse indicate that further education is required?
  Select all that apply.
  1. It would be best to have the child sit in his mom's lap if we have to give him a shot.
  2. Before I listen to the child's lungs, I can let him play with my stethoscope.
  3. I will be able to see the tympanic membrane more clearly if I pull the tragus down and back.
  4. It really doesn't matter what his culture is; mommies always make the decisions about children's health care issues.
  5. I'm going to have to be firm but friendly with my approach to the child.

Question 2

The nurse is providing care to a pediatric client admitted to the pediatric intensive care unit (PICU) following a motor vehicle accident (MVA). The child weighs 39 pounds.
 
  Calculate the child's minimum expected urinary output in milliliters (mL) over an 8-hour period.
  _______ mL.
  Round to the nearest whole number.


gasdhashg

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 1, 3, 4
Painful procedures should not be performed while a child is seated on a parent's lap. Children need to know they are safe from painful experiences when they are with their parents. The student nurse should pull the pinna up and back because the child is older than 4 years of age. Arab Americans have patriarchal hierarchies where the father must be consulted prior to any professional healthcare decisions. Whenever possible, play should be incorporated into nursing procedures. It is helpful to allow children to touch and manipulate equipment. Nurses should use a caring, supportive, yet firm approach with children.

Answer to Question 2

Correct Answer: 142 mL
Normal urine output for children is at least one ml/kg/hr. The child weighs 39 pounds. To calculate the child's weight in kilograms, 39 pounds is divided by 2.2. There are 2.2 pounds in each kilogram. The child should produce at least one milliliter per kilogram each hour. The child weighs 17.727 kilograms; multiply this number by one milliliter/kilogram. This is 17.727 milliliters of urine produced each hour. Multiply this number by 8, and it equals 141.818. When rounded to a whole number, this is 142 milliliters.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Assessment of Cutaneous Hypersensitivity, Lift a Fold of Skin Away from the Underlying Muscle Assessment of Cutaneous Hypersensitivity, Lift a Fold of Skin Away from the Underlying Muscle
The nuse works within the cultural mores of American families. The nuse works within the cultural mores of American families.
Patient teaching: nail assessment Patient teaching: nail assessment
Ottoman Empire and the Arab World, 1914 Ottoman Empire and the Arab World, 1914
Preparing a Urine Specimen for Microscopic Examination (for Classroom Evaluation Only) Preparing a Urine Specimen for Microscopic Examination (for Classroom Evaluation Only)
Measuring the client’s height with a platform scale Measuring the client’s height with a platform scale
Video: Pericarditis

For a complete list of videos, visit our video library