The pediatric nurse completes an assessment on all patients ...

[chandani]

The pediatric nurse completes an assessment on all patients assigned during evening shift at the hospital. Which patient assessment requires immediate intervention?
 
  a. Toddler with an axillary temperature of 99  F
  b. School-age child with widening pulse pressure
  c. Infant pulse rate of 100 beats per minute
  d. Adolescent with a respiratory rate of 28 breaths per minute

Question 2

A 15-year-old patient returns to the pediatric unit following a lumbar puncture. What initial position will the nurse maintain for this patient?
 
  a. Left side-lying
  b. Supine
  c. Prone
  d. Semi-Fowler's

[wshriver]

Answer to Question 1

ANS: B
A widening pulse pressure can indicate increased ICP; therefore it is the priority. An axillary temperature of 99  F, infant pulse of 100 bpm, and adolescent respiratory rate of 28 are expected assessments.

Answer to Question 2

ANS: B
The adolescent may avoid post-lumbar puncture headache by lying flat for some time.

[chandani]

Thanks for the timely response, appreciate it

[EAN94]

TYSM