« previous next »

Author Question: The home health nurse arrives at a home and finds a 9-year-old client who is sitting upright in the ... (Read 98 times)

jjjetplane

  • Hero Member
  • *****
  • Posts: 556
on: Jun 27, 2018
The home health nurse arrives at a home and finds a 9-year-old client who is sitting upright in the tripod position and has marked stridor. The nurse should:
 
  a. Examine the back of the throat using a tongue depressor
  b. Assist the child to lie down, and administer a dose of triamcinolone acetonide (Aristocort)
  c. Take the child to the bathroom, and turn on the hot water to create steam
  d. Arrange for transportation to the hospital

Question 2

A newborn, premature twin exhibits respiratory distress with retractions, nasal flaring, cyanosis, grunting, and fine, scattered rales. What nursing interventions would you expect the physician to order?
 
  1. Place an NG tube for feeds, monitor respiratory status on ventilator, record I& O's, start an IV, and send electrolyte panel to the laboratory and monitor temperatures
   2. Cardio- respiratory monitoring, frequent suctioning on ventilator, and monitoring blood glucose level hourly
   3. Placing infant in semi-fowler's position on affected side with head of the bed elevated, oxygen via nasal cannula, keeping NPO, and preparing parents for surgery
   4. Giving surfactant intravenously within the first 12 hours of life and repeating every 12 hours for three days.


abro1885

  • Sr. Member
  • ****
  • Posts: 337
Reply #1 on: Jun 27, 2018
Answer to Question 1

D
This child should get to the hospital as these are signs of epiglottitis, a life-threatening emergency. The throat examination might cause laryngospasm and respiratory arrest. Steam and inhalants are of little use.

Answer to Question 2

1
Feedback
1. Place an NG tube for feeds, monitor respiratory status on ventilator, record I& O's, start an IV, and send electrolyte panel to the lab and monitor temperatures
2. A ventilator is not needed at this time. Blood glucose should be monitored because it can cause an increase in respiratory distress.
3. Surgery is not indicated at this time.
4. The statement does not indicate the level of prematurity for the infant. Surfactant is not needed at this particular time.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Bacteria have flourished on the earth for over three billion years. They were the first life forms on the planet.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Muskox populations remain in the Arctic all year, though they migrate to higher elevations in the wi Muskox populations remain in the Arctic all year, though they migrate to higher elevations in the wi
A, A nurse is adding a medication to an IV line as a piggyback A, A nurse is adding a medication to an IV line as a piggyback
Differences between a Nurse Practitioner Differences between a Nurse Practitioner
Home Health Nurse. Home Health Nurse.
Nurse opens sterile package Nurse opens sterile package
Nurse using a stethoscope Nurse using a stethoscope
Video: Bulk flow - Factors that influence bulk flow

For a complete list of videos, visit our video library