Case Study Question 6 of 6 A 2-year-old female is brought to the Emergency Department by her mother with a 2-day history of fever, vomiting, and diarrhea.   Nurses’ Notes   0800: 2-year-old female brought to Emergency Department by her mother. Client has a 2-day history of fever, vomiting, and diarrhea. Mother reports client has had “multiple” episodes of liquid stool per day (5 to 6 times per day), decreased oral intake, and multiple emesis. Mother states, “She can’t keep much down. She has been throwing up everything.” Client is alert but irritable. She was initially crying but making very few tears. Client weighs 12 kg (26.4 pounds). Mother reports client has a diaper rash. Mother reports changing diaper only when client has diarrhea but has not had any diapers since yesterday that were only urine.   0815: Assessment of client shows skin turgor with tenting, eyes are slightly sunken, lips are pale and dry, hyperactive bowel sounds, delayed capillary refill.   0830: Medicated with Acetaminophen. Attempting oral rehydration.   1230: Retained total of 650 mL of oral rehydration and is more alert, less irritable, and has had a wet diaper and one stool. Capillary refill less than 3 seconds.     Time 0815 0930 1130 Temp 39.3°C/102.7°F temporal 37.2°C/99°F temporal 37.1°C/98.8°F temporal HR 162 145 123 RR 38 32 28 B/P 84/50 85/52 86/53 Pulse oximeter 96% 97% 99%   Question 6: The nurse reevaluates the client after implementing the treatment plan. Which findings show the treatment plan has been effective? Select all that apply.

Case Study Question 2 of 6 A 2-year-old female is brought to the Emergency Department by her mother with a 2-day history of fever, vomiting, and diarrhea.   Nurses’ Notes   0800: 2-year-old female brought to Emergency Department by her mother. Client has a 2-day history of fever, vomiting, and diarrhea. Mother reports client has had “multiple” episodes of liquid stool per day (5 to 6 times per day), decreased oral intake, and multiple emesis. Mother states, “She can’t keep much down. She has been throwing up everything.” Client is alert but irritable. She was initially crying but making very few tears. Client weighs 12 kg (26.4 pounds). Mother reports client has a diaper rash. Mother reports changing diaper only when client has diarrhea but has not had any diapers since yesterday that were only urine.   0815: Assessment of client shows skin turgor with tenting, eyes are slightly sunken, lips are pale and dry, hyperactive bowel sounds, delayed capillary refill.     Vital Signs   Time 0815 Temp 39.3°C/102.7°F temporal HR 142 RR 38 B/P 88/52 Pulse oximeter 96%   Question 2: Match each finding to indicate if the factor is consistent with mild, moderate, or severe dehydration.

The mother of a child with ESRD asks the nurse why her son is getting an injection of erythropoietin. When responding to the mother, the nurse incorporates understanding of which of the following as the rationale?

The nurse has completed discharge teaching of the dietary regimen of a child with celiac disease. The nurse evaluates that client education has been successful when the mother states that the child must comply with the gluten-free diet for how long?

The nurse is caring for a child who is having an anaphylactic reaction with bronchospasm. The nurse would expect to administer which of the following for bronchospasm as ordered?

Which of the following are examples of acquired heart disease? Select all that apply

The nurse is conducting a physical examination of a child with a ventricular septal defect. Which of the following assessment findings is expected with this disorder?

An 8-year-old client presents with sudden onset of abdominal pain. Patient also has a loss of appetite, dark colored urine, and orbital edema. On taking the child’s health history, the nurse learns that the child had strep throat 9 days ago. Which condition does the nurse suspect?

Which of the following actions indicates that the parents of a 12-month-old with iron deficiency anemia understand how to administer iron supplements?

The nurse is caring for a newborn diagnosed with patent ductus arteriosus. Which medication would the pediatrician order for closure of the patent ductus arteriosus?