A student nurse is caring for a child several hours after open ...

[lb_gilbert]

A student nurse is caring for a child several hours after open heart surgery. Which action by the student requires intervention by the registered nurse?
 
  A.
  Administers pain medication based on assessment of nonverbal signs of pain
  B.
  Groups nursing care tasks to allow for uninterrupted periods of rest and sleep
  C.
  Monitors hourly output from child's indwelling urinary catheter and chest tube
  D.
  Prepares to administer medication through the central venous pressure line

Question 2

A nurse is concerned that a child may have renal failure after open heart surgery. Which laboratory value does the nurse assess as the priority to determine the child's kidney function?
 
  A.
  Blood urea nitrogen (BUN)
  B.
  Serum creatinine
  C.
  Hemoglobin
  D.
  Urine pH

[amit]

Answer to Question 1

ANS: D
The central venous pressure line is used to measure right atrial pressure. It is not used for medication administration. The RN should intervene when the student prepares to give medication through this line. The other actions are appropriate.

Answer to Question 2

ANS: B
The diagnostic laboratory value most specific for kidney function is the creatinine, so this is the laboratory value the nurse assesses. BUN also indicates kidney function, but alterations in BUN can be due to many causes other than kidney problems. The hemoglobin and urine pH do not give information about the function of the kidneys.