The nurse is caring for a pediatric client who sustained a severe ...

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The nurse is caring for a pediatric client who sustained a severe burn. Determine the order of what would be done for this child when the medical team arrives on the scene:
 
  1. Start intravenous fluids.
  2. Provide for relief of pain.
  3. Establish an airway.
  4. Place a Foley catheter.

Question 2

The school nurse is conducting pediculosis capitis (head lice) checks. Which findings would indicate a positive head check?
 
  1. White, flaky particles throughout the entire scalp region
  2. Maculopapular lesions behind the ears
  3. Lesions in the scalp that extend to the hairline or neck
  4. White sacs attached to the hair shafts in the occipital area

[kingdude89]

Answer to Question 1

Correct Answer: 3,1,2,4
Rationale: The first step in burn care is to ensure that the child has an airway, is breathing, and has a pulse. Due to the severity of the burn, establishing IV access and starting resuscitation fluids would be next, followed by addressing the area of pain and inserting a Foley catheter.

Answer to Question 2

Correct Answer: 4
Rationale: Evidence of pediculosis capitis includes white sacs (nits) that are attached to the hair shafts, frequently in the occiput area. Lesions may be present from itching, but the positive sign is evidence of nits. Lice and nits must be distinguished from dandruff, which appears as white, flaky particles.

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Gracias!

[bimper21]

TYSM