A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?
Measure weight and height.
Insert an indwelling urinary catheter.
Initiate IV access.
Maintain ECG monitoring.
The Correct Answer is C
A. Measuring weight and height is not an immediate priority in the management of shock.
B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.
C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.
D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.
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Related Questions
Correct Answer is B
Explanation
A. Palliative care does not always take place in the home. It can be provided in hospitals, hospices, or other care settings based on the child’s needs.
B. Palliative care focuses on providing relief from symptoms and improving quality of life for the patient. It is essential that the family is included in the decision-making process to align care with the child’s and family’s goals, ensuring informed choices.
C. While healthcare professionals provide guidance, the decision to transition to palliative care is collaborative and includes the family, respecting their values and wishes.
D. Not communicating the option of palliative care to the family may lead to confusion and a lack of understanding. Transparent discussions are necessary to ensure that families are aware of all care options.
Correct Answer is A
Explanation
A. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.
B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.
C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.
D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.
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