The nurse is caring for a preschool-age child who survived near ...

[silviawilliams41]

The nurse is caring for a preschool-age child who survived near drowning. Which interventions should the nurse plan to promote optimum respiratory functioning for this patient? (Select all that apply.)
 
  A) Turn and reposition every 2 hours.
  B) Administer antibiotics as prescribed.
  C) Auscultate lung sounds every 2 to 4 hours.
  D) Monitor cardiac rhythm and blood pressure.
  E) Encourage deep breathing and incentive spirometry every hour.

Question 2

A school-age child is brought to the emergency department after being hit in the mouth with a baseball bat during Little League. The child has lost two deciduous teeth, and one permanent front tooth is loose.
 
  What care should the nurse prepare to provide to this patient? (Select all that apply.) A) Administer prescribed oral antibiotic.
  B) Wash the deciduous teeth with saline to be wired into place.
  C) Instruct the parents and the child that the jaw will need to be wired shut.
  D) Explain that an X-ray may be done to make sure that the jaw was not fractured.
  E) Explain that a chest X-ray will be done to make sure that other teeth are not in the lungs.

[dpost18]

Answer to Question 1

A, B, C, E
Feedback:
After a near drowning, the child should be turned every 2 hours. The child is usually prescribed prophylactic antibiotic therapy to prevent pneumonia. Lung sounds should be auscultated frequently for adventitious sounds. Deep breathing and incentive spirometry should be encouraged every hour help to aerate the lungs fully and prevent the accumulation of fluid, which promotes infection. Monitoring cardiac rhythm and blood pressure are not interventions specifically for respiratory functioning.

Answer to Question 2

A, D
Feedback:
With dental fractures, deciduous teeth may not be replaced. If the blow to the teeth was extensive, an X-ray may be done to ensure that the upper or lower jaw is not fractured. The patient will be prescribed an oral antibiotic. The jaw does not need to be wired shut unless it is fractured. A chest X-ray would be done if the missing teeth are unaccountable.

[silviawilliams41]

Thank you

[dpost18]

Happy to help you