A child is admitted with epiglottitis and needs an radiograph. ...

[Diane]

A child is admitted with epiglottitis and needs an radiograph. The nurse orders the radiograph to be done by
 
  1. transporting the child to theradiograph department.
  2. portable radiograph in the unit'swaiting room.
  3. portable radiograph in the child'shospital room.
  4. transporting the child to theradiograph department in parent's arms.

Question 2

The nurse determines the fundus of a postpartum patient to be boggy. Initially, the nurse should:
 
  1. Document the findings.
  2. Catheterize the patient.
  3. Massage gently and reassess.
  4. Call the physician immediately.

[b614102004]

Answer to Question 1

Answer:3
Rationale: The radiograph should be portable so that the child remains on the pediatric unit near equipment and personnel who can perform emergency airway interventions. Traveling to the radiograph department takes the child away from emergency equipment and trained personnel.

Answer to Question 2

3
Rationale 1: Documenting the findings would come after massage, reassessment, and evaluation.
Rationale 2: Catheterizing the patient might be indicated if assessment reveals a full bladder and inability to void, but not as an initial intervention.
Rationale 3: Massaging gently and reassessing would be the initial intervention to prevent postpartum hemorrhage.
Rationale 4: Calling the physician immediately is not necessary until more data are obtained.