A 6-year-old child presents to the emergency department with a 2-day history of vomiting and diarrhea. The mother reports that the child has had a decreased oral intake and has been less active than usual. On examination, the child appears restless and irritable. The nurse measures the child’s vital signs and notes the following: pulse rate is 130 beats per minute, blood pressure is 85/55 mm Hg, respiratory rate is 30 breaths per minute, and urine output is decreased. The child’s weight is 8% below the recorded weight from a well-child visit 1 month ago. Based on the assessment data, the nurse recognizes which degree of dehydration the child is most likely experiencing?

A child with a large VSD is being treated with medications. Which medication should the nurse expect to be part of the treatment plan?  

A 5-year-old child with a newly diagnosed Atrial Septal Defect is scheduled for surgery. The parents ask the nurse why surgery is necessary if the child has no symptoms. Which is the best response by the nurse?

A nurse is caring for a 6-year-old child with bronchiolitis caused by Respiratory Syncytial Virus (RSV). Which of the following interventions should the nurse prioritize?

An adolescent is admitted to the emergency department with nausea, vomiting, and severe, localized, abdominal pain.  Approximately 30 minutes after being admitted, he tells the nurse that his pain has disappeared. Based on the assessment findings, which of the following actions should the nurse take? (select all that apply).

A nurse is assessing a child with Tetralogy of Fallot and notes the child squatting during play. What is the best interpretation of this behavior?

A child with asthma is instructed to use a peak flow meter daily. The nurse teaches the child how to use the meter correctly. Which action by the child indicates a need for further instruction?

A child is in the emergency room with an acute asthma exacerbation. The child’s peak flow meter reading is in the red zone. What should the nurse do first?

A child with end-stage renal disease (ESRD) is undergoing dialysis. The nurse observes a decrease in fluid output. Which action is most appropriate?

Match the Link of the Chain of Infection with the appropriate nursing action.