Use your mouse to select the Fillet tool.

Case Study Question 3 of 3A previously healthy 10 yo female presents with respiratory distress anddehydration. Upon physical assessment, you note the following:• Ill appearing, diaphoretic, with increased work of breathing, RR 30. Abdominalretractions noted with pulse oximeter 96%• Lung sounds diminished on right side compared to left• BP 90/50. HR 150. Cap refill 3-4 seconds• Patient has had cough/congestion starting 2 weeks ago. Patient has had fevers in thelast few days up to 102 degrees F. Family denies their child has had polyuria or polydipsia. Labwork: ABG: pH 7.29, pO2 60, pCO2 49, bicarb 26 Na+ 133, K+ 4.5, Cl- 101, CO2, 17, Glucose 190, lactate 5.6 CXR: One hour after admission, the child’s O2 saturations drop below 90%; child is placed on high flow nasal cannula oxygen and a nebulizer treatment is administered. The pediatric intensivist writes respiratory and sepsis protocol orders for this child. Identify the orders below as appropriate or not appropriate for this patient.

Use your mouse to select the Joint tool.

13. Two fair six-sided dice are tossed. (Enter your probabilities as fractions.) What is the probability that the sum of the number of dots shown on the upper faces is equal to 8?

The nurse is planning care for a school-age child being admitted to the hospital for a chronic illness. Which four potential hazards of hospitalization for children will the nurse use to plan this client’s care?

Environmental communicators have to compete with consumer culture messaging. In class, Zoller said that environmental communicators should therefore try to:

The nurse analyzes the lab values for a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500/mm3 (19.5). On the basis of this lab value, which intervention should the nurse include in the plan of care?

What are two problems with the Deficit Model of Science Communication: A) It assumes that the public lacks scientific knowledge, ignoring people’s understanding of relevant scientific issues. B) It assumes that people just need to be given scientific facts in order to improve their engagement with science. C) It assumes that people need to be engaged in substantive decision-making about science, but that process is too time consuming. D) It assumes that science communicators should treat the public like scientists when they are not.

Case Study: A CHILD WITH ACUTE LYMPHOCYTIC LEUKEMIA M.R. is a 5-year-old seen in an ambulatory clinic for loss of weight. HISTORY: The child has had a series of upper respiratory infections with accompanying herpes simplex infections and otitis media since midwinter. They have lost 5 lb during spring months. The birthing parent has noticed “easy bleeding for the last 2 weeks.” The child has five ecchymotic areas on arms and seven on legs. Gums bleed easily as well. FAMILY PROFILE: The family is intact. The child is the youngest of four children (others are 19, 16, and 14 years). The nonbirthing parent works as self-employed landscaper. The birthing parent works part-time as a substitute language teacher. DAY HISTORY: Nutrition: The child likes all foods; appetite loss noticed during spring months. The child takes one multivitamin tablet daily. Sleep: Sleeps 8 hours per night; still sleepy in morning and difficult to awaken. Recreation/school: Enjoys playing soccer or with “Barbie dolls” after school but hasn’t played soccer for the last 2 weeks because of fatigue. The child attends kindergarten at local school; they have missed 32 days since start of second semester from illness or “tiredness.” HISTORY OF PAST ILLNESSES: Immunizations up to date. No hospitalizations. No allergies. PHYSICAL EXAMINATION: Height: 43 in. (75%); weight: 32 lb (3%); BMI: 13.4; BP: 102/60 mm Hg General appearance: Listless-appearing, pale 5-year-old White female; patch in place over right eye; four ecchymotic areas approximately 3 cm × 2 cm obvious on arms. Child appears tired; had been sleeping in waiting room; their nose is draining clear fluid and they were holding hand over left ear.   M.R. is diagnosed as having acute lymphocytic leukemia (ALL). Question 2 of 4: M.R. is prescribed leucovorin after methotrexate therapy. When planning M.R.’s care, the nurse should identify what goal of leucovorin?

Case Study Question 5 of 6 16-year-old client with fainting episodes is admitted to the children’s medical surgical unit to treat the dehydration. The nurse receives orders. Which tasks can the nurse delegate to the healthcare technician? Select all that apply.