Author Question: The clinic nurse receives a call from the mother of a 4-year-old child on long-term corticosteroid ... (Read 32 times)

jessicacav · **on:** Jul 23, 2018

The clinic nurse receives a call from the mother of a 4-year-old child on long-term corticosteroid therapy saying the child woke up with a cold and is pulling on his ear. What instructions will the nurse provide?

A) Encourage fluids, monitor his temperature, and he will be better in 3 days.
B) Take him to the emergency room (ER) immediately.
C) Bring him to the clinic to be seen today.
D) Hang up and call 911.

Question 2

A patient is extremely dehydrated from vomiting and diarrhea causing his or her blood to become hypertonic. What effect does the nurse expect this will have on the red blood cells?

A) They will swell and eventually rupture.
B) Red blood cells will migrate to the bone narrow.
C) The cells will shrink and shrivel, decreasing their oxygen-carrying ability.
D) The red cells will precipitate out of circulation.

nhea · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
Children receiving long-term therapy should be protected from exposure to infection. Special precautions should be instituted to avoid injury. If injuries or infections do occur, the child should be seen by a primary care provider as soon as possible. There is no need to treat this as an emergency so the mother need not rush the child to the ER or call 911, but she should be encouraged to have the child seen today at the clinic. It would not be appropriate to give home care instructions until he has been seen at the clinic.

Answer to Question 2

C
Feedback:
A hypertonic solution will draw the water out of the red blood cell, causing it to shrink and shrivel, decreasing the oxygen carrying ability of the red blood cell. A hypotonic solution would result in water moving into the red blood cell, causing it to swell and burst. Red blood cells will not migrate back to the bone marrow or precipitate out of circulation.