Author Question: A child is brought to the emergency department after falling from a high swing and landing on the ... (Read 39 times)

ssal · **on:** Jul 22, 2018

A child is brought to the emergency department after falling from a high swing and landing on the back. The nurse notes that the client also has hemophilia.

Because of the client's history and the nature of the injury, the nurse should first collect data about: 1. Blood in the urine
2. Oxygen saturation
3. Presence of headache
4. Presence of slurred speech

Question 2

The nurse is told that the result of a serum carbamazepine (Tegretol) level for a child who is receiving the medication for the control of seizures is 10 mcg/mL.

Based on this laboratory result, the nurse anticipates that the physician will prescribe: 1. Discontinuation of the medication
2. A decrease of the dosage of the medication
3. An increase of the dosage of the medication
4. Continuation of the presently prescribed dosage

cascooper22 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Because the kidneys are located in the flank region of the body, trauma to the back area can cause hematuria, particularly in the child with hemophilia. The nurse would be most concerned about the child's airway and respiratory rate if the child sustained an injury to the neck region. Headache and slurred speech are associated with head trauma.

Answer to Question 2

4

Rationale: When carbamazepine is administered, blood levels need to be monitored periodically to check for the child's absorption of the medication. The amount of the medication prescribed is based on the blood level achieved. The therapeutic serum range of carbamazepine is 4 to 12 mcg/mL. The nurse would anticipate that the physician will continue the presently prescribed dosage.