29. A client has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?

5. The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious complication for which the nurse should assess in Kawasaki disease?

36. The health care provider prescribes the following interventions for a 67-Kg client who has septic shock with a blood pressure of 70/42 mm Hg and O2 saturation of 90% on room air. In which order will the nurse implement the actions? (Select all that apply). a. Obtain blood and urine cultures.b. Give vancomycin by IV infusion.c. Infuse normal saline 2000 mL over 30 minutes.d. Administer oxygen to keep O2 saturation above 95%.

47. The nurse is caring for a client receiving a continuous norepinephrine IV infusion. Which finding indicates that the infusion rate may need to be adjusted?

After teaching a client about lithium carbonate (Lithane), a nurse would consider the teaching successful on the basis of which client statement?

17. Connor is a 15-month-old male brought in by his mother for a 6-day history of extreme irritability, red eyes, swelling of hands and feet, and fever. Conner was admitted to the pediatric unit with a diagnosis of Kawasaki Disease. Subjective Data:Mom states pt. has been extremely irritableRefuses to drink, states his mouth hurtsFever for 6 daysObjective Data:Weight: 22kgVital Signs: T 104°F (40°C), P 110, R 30, BP 102/60Non-purulent conjunctitis bilaterallyExtremities edematous with erythema noted to palms and solesGeneralized erythematous rash noted to trunkEnlarged cervical lymph nodes on exam Conner is scheduled for an echocardiogram. The mother asked “what will the test do”? Which explanation by the nurse is best?     

54. A student nurse is learning about blood transfusion compatibilities. What information does this include? (Select all that apply.)

Which critical information should the PT provide to clients about the use of lithium?

25. A 78-year-old man with a history of diabetes has confusion and temperature of 104 degrees F. There is a wound on his right heel with purulent drainage. After an infusion of 3 L of normal saline, his assessment findings are  B/P 84/40 mm/Hg, heart rate 110, respirations 42 and shallow, cardiac out 8 L/min, and PAWP 4 mm/Hg. What conditions does his symptoms indicate?

4. What is an expected assessment finding in a child with coarctation of the aorta?