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A nurse in the emergency department is caring for a toddler.

Exhibits

Complete the following sentence by using the list of options.

The nurse should first 
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B"}

The nurse should first: b. Keep the child NPO.

Rationale:

In this scenario, the child may have ingested a battery, which can cause serious complications such as chemical burns if it gets stuck in the esophagus. Keeping the child NPO (nothing by mouth) helps prevent further movement of the battery and reduces the risk of complications.

Other responses:

a. Obtain informed consent: While obtaining informed consent may be necessary for certain diagnostic or treatment procedures, the immediate priority is to ensure the child's safety and prevent complications from the suspected battery ingestion.

c. Teach the child's parents the importance of inspecting the child's play area: While this is an important aspect of preventing accidents, it is not the immediate priority when the child is at risk of battery ingestion. Ensuring the child's safety and preventing further harm take precedence.


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Related Questions

Correct Answer is ["0.6"]

Explanation

Convert weight from pounds to kilograms:

    • 55 lb / 2.2 lb/kg = 25 kg

Calculate the total milligrams of diphenhydramine needed:

    • Dose (mg/kg) x Weight (kg) = Total milligrams
    • 1.25 mg/kg x 25 kg = 31.25 mg (round to 31.3 mg)

Determine the volume of diphenhydramine solution needed:

    • Total milligrams / Concentration (mg/mL) = Volume (mL)
    • 31.3 mg / 50 mg/mL = 0.63 mL (round to nearest tenth)

Therefore, the nurse should administer 0.6 mL of diphenhydramine 50 mg/mL

Correct Answer is B

Explanation

A. "Encourage your child to drink liquids through a straw." Using a straw can create negative pressure that may dislodge clots at the surgical site, increasing the risk of bleeding. Therefore, this is not recommended.

B. "Notify the provider if your child is swallowing frequently." Frequent swallowing can be a sign of bleeding at the surgical site. It’s important to monitor for this as it may indicate that the child is swallowing blood, which could lead to serious complications.

C. "Encourage your child to clear their throat as needed." Clearing the throat can cause irritation and increase the risk of bleeding at the surgical site. It is generally advised to avoid actions that might disturb the surgical site.

D. "Notify the provider if your child has dark brown blood between their teeth." Dark brown blood can indicate old blood which is less concerning than bright red blood. However, any bleeding should be monitored, and bright red blood is of particular concern. The more immediate issue is frequent swallowing as it indicates active bleeding

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