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Author Question: The nurse has been caring for a child on the pediatric floor and notes that the child's PMI has ... (Read 96 times)

imowrer

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on: Jun 27, 2018
The nurse has been caring for a child on the pediatric floor and notes that the child's PMI has shifted to the midline. The nurse is aware that this can indicate:
 
  1. Poor inspiratory effort by the child.
   2. Pneumonia in the left lung.
   3. Pneumothorax.
   4. Neurological integrity has been compromised.

Question 2

The nurse reminds the parents of a 6-year-old child with juvenile idiopathic arthritis (JIA) that the nonsteroidal anti-inflammatory drugs (NSAIDs) that are given for pain relief should be given:
 
  a. Early in the morning on an empty stomach
  b. Between meals
  c. Whenever the child experiences pain
  d. With meals


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lucas dlamini

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Reply #1 on: Jun 27, 2018
Answer to Question 1

3
Feedback
1. Point of maximum impulse is the heart's sounds.
2. Pneumonia may mask the heart's sounds, but should not indicate a shift in the PMI.
3. Air is very heavy and will shift the heart to the midline of the sternum, resulting in a shift of the point of maximum impulse.
4. PMI does not refer to any neurological alterations.

Answer to Question 2

D
NSAIDs should be given with meals to avoid gastric irritation.


imowrer

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Reply 2 on: Jun 27, 2018
Great answer, keep it coming :)

komodo7

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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