A child presents with a 5-day history of fever, cervical lymphadenopathy, strawberry tongue, joint pain, and elevated CRP/ESR. The nurse should anticipate an order for:
Fifteen minutes after receiving PO pain medication, a patient reports dull pain in their lower abdomen without nausea. Which of the following interventions should a nurse consider next?
An 8-year-old patient who sustained intracerebral hemorrhage after a traumatic incident was intubated in the field. Head CT scan showed a 5 mm midline shift. The patient is difficult to arouse but pulls away from noxious stimuli. The most concerning sign of clinical deterioration is:
A child has fever, chills, back pain, elevated WBC and ESR, and abnormal urinalysis. After IV fluids and antibiotics, what procedure should be anticipated?
A 12-year-old patient with severe developmental delay underwent a video-assisted thoracentesis and chest tube placement for an empyema. The patient remained intubated after the procedure. The nurse is assessing for postoperative pain. Which of the following pain assessment tools should the nurse select?
When evaluating the effectiveness of a new skin care protocol, a nurse should assess the:
Multiple blood transfusions have been given to a patient with massive blood loss following a motor vehicle crash. Which of the following electrolyte abnormalities should a nurse anticipate?
An infant with bronchiolitis is intubated and mechanically ventilated. ABG:
pH: 7.31
PaCO₂: 62 mmHg
PaO₂: 50 mmHg
HCO₃: 26 mEq/L
Which radiologic finding is most likely?
A nurse preceptor and new nurse are caring for a 16-year-old patient following a crush injury. The lab report is significant for a creatine kinase (CK) level of 150 U/L and the patient’s urine is dark yellow. Vital signs are:
BP: 95/60
HR: 115
RR: 22
Temp: 100.5°F (38.1°C)
Which of the following statements by the new nurse is most correct?
An infant presents with poor feeding and a blood glucose level of 50 mg/dL. A nurse should assess for which of the following symptoms?
