MAIN VERSION PRIORITY ONE
1. Missing
2. A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in the plan
...
MAIN VERSION PRIORITY ONE
1. Missing
2. A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in the plan
of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
Rationale Fundamentals ATI PDF p229: Managing acute severe pain with short-term
(24 to 48 hr) around-the-clock administration of opioids is preferable to following a PRN
schedule.
ATI PEDS 144 Maintain NPO. Administer IV fluids and antibiotics as prescribed. NO
cromolyn nebulizer stated on ATI.
3. A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. A client who has epidural analgesia and weakness in the lower extremities
d. A client who has a hip fracture and a new onset of tachypnea
Rationale Med Surg ATI PDF p457: s/s of fat embolism (dyspnea, increased RR,
decreased O2, headache, decreased LOC r/t low O2 levels, respiratory distress,
tachycardia, confusion, chest pain), Hip and pelvis fractures are common causes, can occur
after injury usually within 12-48 hrs
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