Author Question: The student nurse is preparing to perform an assessment on a 5-year-old Arab American client who is ... (Read 160 times)

Frost2351

  • Hero Member
  • *****
  • Posts: 557
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
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
 

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

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?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

For a complete list of videos, visit our video library