Author Question: A child experienced a lacerated spleen in a motor vehicle accident. Which is the highest-priority ... (Read 112 times)

colton · **on:** Jun 28, 2018

A child experienced a lacerated spleen in a motor vehicle accident. Which is the highest-priority nursing intervention on admission to the pediatric intensive care unit (PICU) following surgery?

1. Observing for signs of hypovolemic shock
2. Maintaining IV fluids
3. Implementing strict bedrest
4. Administering blood products as ordered

Question 2

The nurse educator is preparing an in-service on the basic functions of the gastrointestinal (GI) system. Which statements will the nurse educator include in the in-service?

1. The GI system is responsible for the ingestion of fluids and nutrients.
2. The GI system is responsible for the excretion of fluids and nutrients.
3. The GI system is responsible for the metabolism of nutrients.
4. As infants grow, their stomach capacity increases, decreasing the frequency with which they need to be fed.
5. By the second year of life, digestive processes are still developing.

l.stuut · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: The priority nursing intervention is observing for signs of hypovolemic shock due to bleeding from the lacerated spleen. The other interventions are appropriate but not the highest priority.

Answer to Question 2

Correct Answer: 1,3,4
Rationale: The GI system is responsible for the ingestion of fluids and nutrients as well as the metabolism of nutrients. As infants grow, their stomach capacity increases, which does decrease the frequency with which they need to be fed. The GI system is responsible for the excretion of waste products. By the second year of life, digestive processes are fairly complete.