A 3-year-old child was brought into the emergency room this morning with a sudden onset of "fast and noisy breathing". According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is found to have inspiratory stridor and retractions. He had a temperature of 97.7 degrees fahrenheit, a respiratory rate of 56 cycles/min and anSpO2 of 92% on room air. Will admit to the paediatric floor for treatment.

The nurse is reviewing the assessment.

Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.

An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

A 15-year-old girl asks the clinic nurse for information about oral contraceptives because she is planning to have sexual relations with her 17- year-old boyfriend but does not want her parents to know. Which action should the nurse take?

One week after removing a tick that bit him, a student arrives at the school nurse's office with reports of flu-like symptoms.

Which intervention should the school nurse implement first?

A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a barking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?

When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome?

What are some possible changes that might explain the trend in glycosylated haemoglobin in this client? Select all that apply.

The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?

A male child is being prepared for a computed tomography (CT) scan when he begins to have a tonic clonic seizure. His mother is hysterical and is trying to hold the child down. Which action(s) should the nurse take? (Select all that apply.)

A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?

The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?