Discuss any two methods writers use to refine their writing voice; number your answers 1 and 2, and explain each method in a sentence or two.

Take Actions (Implementation) Case Study 1: Part 4 Paolo is diagnosed with Hib. He is stabilized post nebulized epinephrine administration and no longer requires supplemental oxygenation. Vital signs now are as follows: Heart rate 117/minRespiratory rate 27/minOxygen saturation 94% on room airBlood pressure 89/47 mm HgTemperature 38.7º C (101.7º F) The nurse will first ensure the child’s head of bed is at the optimal height to aid in air flow and provide comfort to the child. Allowing the child to be in the position and placement of their choice (such as a parent’s lap) will be allowed if respiratory needs are being met. Allowing the child to feel safe and secure to minimize crying will also minimize stress on the airway and help prevent further swelling. Medications ordered by the health care provider will be administered, and may include corticosteroids, nebulized epinephrine, and potential pain or antipyretic medications. Antibiotics may be necessary if a bacterium, like Hib, is the causative agent. Educating the parent on medication administration at home—including frequency, measurement methods, dosing, whether to give with meals, and strategies to help with administration of oral medications—is essential for safe at-home medication administration. Education regarding needed immunizations and the importance of keeping immunizations up to date will also be provided to the parents at this time. Follow-up care will be important and needs to be emphasized to ensure Paulo returns to baseline and receives his vaccines.  Now that Paolo is stabilized, which of the following interventions should the nurse complete?

The nurse is educating a 10-year-old client who has type 1 diabetes about their condition. Which of the following statements by the client indicates a need for further teaching?

A nurse is talking with an 11-year-old client who has food allergies about a birthday party that they will be attending. Which of the following statements is most appropriate?   

Generate Solutions (Planning)  The nurse will act immediately, using critical thinking and judgment to stabilize the airway if needed. Notifying a provider immediately upon identifying respiratory distress will be a priority action in the event an advanced airway is needed. If the child is not in distress, determining the respiratory needs will take priority at that time. Upon deciding on level of needs, the nurse will implement basic respiratory needs to aid in increased air movement, supplement oxygenation needs, and provide support and comfort. Upon notifying the provider of Paolo’s respiratory distress, which of the following orders does the nurse anticipate from the provider? Select all that apply.

Case Study 1: Part 3 When collecting the history from Paulo’s mother, the nurse documents the following: He was born at 39 weeks of gestation via a spontaneous vaginal birth.He has had surgery for tube placement in both ears for chronic ear infections.His immunization status is incomplete. Paulo is missing all vaccines due on or after the 12-month point.Paulo’s mother is currently pregnant. Based on the medical history collection, which of the following could potentially be the cause of Paulo’s manifestations? 

Determine if the following manifestations are allergic rhinitis, allergic reaction, or anaphylaxis. 

A nurse is teaching parents about contributors to feeding issues. Which of the following age groups should the nurse mention as having higher rates of rejecting new food, picky eating, and neophobia?  Select all that apply.

A client who has type 2 diabetes presents to the emergency department. Which of the following manifestations should first cause the nurse to suspect diabetic ketoacidosis (DKA)? 

A parent brings their 12-year-old female child to the provider’s office because they are concerned about a lack of progression toward puberty. Which of the following is the most appropriate response from the nurse?