A nurse is reviewing the lumbar puncture results of a school-age child who is suspected
of having bacterial meningitis. Which of the following findings should the nurse identify
as an indication of bacterial meningitis
-answer: increased protein concentration
-rationale: increased protein concentration in the spinal fluid is a finding that can
indicate bacterial meningitis
Tachypnea
-a rapid regular breathing patter
-this breathing pattern occurs with anxiety, fever, metabolic acidosis, or severe anemia
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A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which
of the following actions should the nurse plan to take
-answer: perform a finger stick
-rationale The nurse should perform a finger stick on a toddler as a component of the
sickle turbidity test.
-if the test is positive, hemoglobin electrophoresis is required to distinguish between
children who have the genetic trait and children who have the disease
Blood pressure range of a toddler
, -86-118 mmHg systolic
-44 to 74 mmHg diastolic
-
Respiratory rate for a toddler
-20-25 breaths per minute
Average weight of a toddler
-14.5kg (32lbs)
Heart rate for a toddler is
=80-120 BPM
A nurse is caring for a school age child who is receiving cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medication should the
nurse administer first
-epinephrine
-the child is most likely experiencing an anaphylactic reaction to cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat
anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causes
vasoconstriction of blood vessels in the skin and mucous membranes, and triggers
bronchodilation in the lungs
A nurse is caring for a preschooler whose father is going home for a few hours while
another relative stays with the child. Which of the following statements should the nurse
make to explain to the child when their father will return?
- your daddy will be back after you eat
-Preschoolers make sense of time best when they can associate it with an expected
daily routine, such as meals and bedtime. Therefore, the child comprehends time best
when it is explained to them in relation to an event they are familiar with, such as eating.
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