The nurse working in a pediatrician's office receives a call from ...

[rosent76]

The nurse working in a pediatrician's office receives a call from the mother of a 4-month-old infant reporting that the child has vomited the entire feeding twice and has had four diarrhea stools since awakening at 4 a.m.
 
  The nurse first asks the mother: 1. How much formula are you feeding at one time?
  2. What type of formula are you using?
  3. When was the last wet diaper you changed?
  4. What color is the emesis?

Question 2

The nurse positions the client in what position to decrease esophageal reflux?
 
  1. Head of the bed elevated, left side-lying position
  2. Head of the bed flat, right side-lying
  3. Trendelenburg position, left side-lying
  4. Head of the bed elevated, right side-lying

[missalyssa26]

Answer to Question 1

3
Rationale: While all of these questions are valid assessment data to be collected, the most important assessment is the child's condition before attempting to determine cause of the problem, so the nurse should first address the child's condition by determining when she last voided, as an indicator of possible dehydration.

Answer to Question 2

1
Rationale: Knowledge of GI anatomy reminds the nurse that the esophagus is located on the right side of the stomach, so positioning the client on the left side keeps stomach contents away from the cardiac sphincter, and elevating the head of the bed encourages gastric emptying.

[rosent76]

Both answers were spot on, thank you once again

[missalyssa26]

Great! Please up vote