A nurse is creating a plan of care for a child diagnosed with an arteriovenous malformation (AVM). Which of the following factors should the nurse identify when planning interventions? Select all answers that apply.

Which treatment approach is most appropriate for bacterial encephalitis or bacterial meningitis?

Case Study Question 2 A 12-year-old boy is brought to the emergency department by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease   Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs:   Time 1005 Blood Pressure 98/60 Heart Rate 124 bpm Respiration Rate 30/min Temperature 99.1°F (37.3°C) Pulse Oximeter 98% on room air Laboratory Results  Basic Metabolic Panel: Lab Value Results Time 1015 Range Blood glucose 486 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 0.4-1 mg/dL   Arterial Blood Gas (ABG): Lab Value Result Time 1015 Range pH 7.25 7.35-7.45 PCO₂ 28 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 80-100 mm Hg SaO₂: 98 % 95-100 %   Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 Question 2: Based on the client’s presentation and lab values, the nurse recognizes that these findings are most consistent with _________________ from new onset _____________.  TYPE IN THE NUMBER ONLY FROM THE OPTIONS BELOW:  Blank One  Diabetic ketoacidosis Hyperglycemic hyperosmolar state Islet autoimmunity  Blank Two Diabetes insipidus Type 1 diabetes mellitus Type 2 diabetes mellitus

A nurse in a community center is providing an in-service to a group of parents on management of airway obstruction in toddlers. Which of the following responses by one of the caregivers indicates understanding? 

A nurse is caring for a child whose is experiencing respiratory distress? Which of the following findings are early manifestations of respiratory distress? Select all that apply.

The nurse caring for a toddler is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?

A 4 year old child is found unresponsive. Place the following actions in the correct sequence to perform one rescuer CPR after the scene is safe, the child has been assessed for unresponsiveness, and help has been called. 

The nurse is performing a newborn screening for congenital hypothyroidism, and the thyroid function test results reveal elevated levels of thyroid-stimulating hormone (TSH) and low levels of thyroxine (T4). The client is asymptomatic at birth. Which of the following should the nurse anticipate as the priority action?

Case Study Question 4 A 12-year-old boy is brought to the emergency department by his mother. She reports he has been extremely thirsty, urinating frequently, and more tired than usual over the past two weeks. He has lost 8 pounds in the last month despite having an increased appetite. Today he developed abdominal pain and vomiting. Past Medical History: No significant past medical history. Vaccines up to date. Family History: Aunt with autoimmune disease   Nursing Notes: 1000 Client is lethargic but arousable. Mucous membranes are dry. Delayed capillary refill. Fruity odor on breath. Respirations are deep and rapid. Vital Signs:   Time 1005 Blood Pressure 98/60 Heart Rate 124 bpm Respiration Rate 30/min Temperature 99.1°F (37.3°C) Pulse Oximeter 98% on room air Laboratory Results  Basic Metabolic Panel: Lab Value Results Time 1015 Range Blood glucose 486 mg/dL 70–110 mg/dL Sodium 132 mEq/L 136-145 mEq/L Potassium 5.6 mEq/L 3.4-4.7 mEq/L Chloride 96 mEq/L 90-110 mEq/L Blood Urea Nitrogen (BUN) 28 mg/dL 5-18 mg/dL Creatinine 1.2 mg/dL 0.4-1 mg/dL   Arterial Blood Gas (ABG): Lab Value Result Time 1015 Range pH 7.25 7.35-7.45 PCO₂ 28 mm Hg 35-45 mm Hg HCO₃⁻ 15 mEq/L 22-26 mEq/L PO₂ 96 mm Hg 80-100 mm Hg SaO₂: 98 % 95-100 %   Urinalysis: Lab Value Result Time 1015 Range Appearance Clear Clear Color Yellow Yellow Specific gravity 1.032 1.005-1.03 Glucose 4+ None Ketones Large None Protein Trace None pH 5 4.6-8 Nitrates None None WBCs 0-2 0-5 RBCs 0-2 0-3 Question 4: Which interventions should the nurse anticipate will be included in the provider orders? Select all that apply.

Deficits in the body’s ability to regulate internal temperature are mainly caused by changes in: