A child with end-stage renal disease is being assessed by the ...

[cookcarl]

A child with end-stage renal disease is being assessed by the nurse. The nurse notes crackles in the patient's lungs. The nurse should:
 
  1. Documents the lungs sounds.
   2. Assess for shortness of breath and the respiratory rate.
   3. Obtain a pulse oximetry reading.
   4. All of the above should be done.

Question 2

An 11 month old is being fed by his grandmother. The child appears to have high anxiety and does not feed well. The nurse understands that the child is exhibiting:
 
  1. Trust vs Mistrust.
   2. Autonomy vs Shame and Doubt.
   3. Initiative vs Guilt.
   4. Industry vs Inferiority.

[kswal303]

Answer to Question 1

4
Feedback
1. Documentation is needed for the comparison of the lung sounds at the next assessment.
2. Work of breathing can be an indicator as to how much fluid is building up in the body.
3. A pulse oximetry will notify the staff of the oxygenation status of the child.
4. All of the above steps should be done to ensure quality care for the patient.

Answer to Question 2

1
Feedback
1. The infant has not built a relationship with this grandmother and demonstrates mistrust.
2. The child is not independently feeding.
3. The child is too young to exhibit guilt for his/her actions.
4. The child is too young to exhibit industry because of the lack of physical maturity.

[cookcarl]

Thank you

[kswal303]

No problemo