Author Question: The pediatric nurse completes an assessment on all patients assigned during evening shift at the ... (Read 102 times)

chandani · **on:** Jun 28, 2018

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 · **Reply #1 on:** Jun 28, 2018

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.