A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?

Increase oral fluid intake.

Increase the dwell time during the next dialysis infusion.

Instruct the child to change position.

Assess for a bruit at the site of the peritoneal catheter.

Answer and Explanation

The Correct Answer is C

A.   Increasing oral fluid intake would not necessarily improve dialysate outflow. This could worsen the issue if the problem is related to fluid overload.
B.   Increasing dwell time might allow more time for fluid and waste removal, but it's not the most appropriate action in this case. The primary concern is the lack of outflow, which suggests a potential obstruction or other issue.
C.   Changing the child's position can help to reposition the catheter and improve drainage. This is a reasonable action to try.
D.   A bruit indicates increased blood flow to the area. While it's important to assess for this, it's not the most immediate action to take.

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Correct Answer is A

Explanation

A. Neutropenia significantly increases the risk of infection. Raw fruits and vegetables can harbor bacteria, so they should be avoided.
B. Daily hygiene is essential to prevent infection, especially in a child with neutropenia. Bathing every other day increases the risk of skin breakdown and infection.
C. Rectal temperatures can introduce bacteria into the rectum. Given the increased infection risk, oral or axillary temperatures are preferred.

D. Live vaccines should be avoided in patients with neutropenia as they can cause severe infections.

A. Remove the inhaler from the mouth. B. Depress the canister while inhaling slowly. C. Hold breath for 10 seconds. D. Exhale slowly through the nose.

Correct Answer is D,B,C,A

Explanation

D. Before using the inhaler, the child should exhale fully to empty the lungs and ensure that the medication can be effectively inhaled. This step prepares the airways to receive the medication.

B. As the child starts to inhale slowly and deeply through the mouthpiece, they should simultaneously depress the canister to release the medication. This coordinated action ensures that the medication is delivered into the lungs.

C. After inhaling the medication, the child should hold their breath for about 10 seconds (or as long as comfortable). This allows the medication to settle in the airways and improves its effectiveness.

A. After holding the breath, the child can remove the inhaler from their mouth. This step concludes the inhalation process and allows the child to exhale normally.

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A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take. (Move the steps below into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is D,B,C,A

Explanation

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