Select 2 provider prescriptions the nurse should anticipate.

Proton pump inhibitor

H2-receptor antagonist

Adrenergic bronchodilator

Antiviral

Antispasmodic

Answer and Explanation

Correct Answer : A,B

A. Proton pump inhibitors (PPIs): Reduce stomach acid production, which minimizes esophageal irritation and promotes healing.
B. H2-receptor antagonists: Decrease acid production in the stomach and are commonly used for GER.
C. Adrenergic bronchodilator: Used for respiratory issues, not GER or pyloric stenosis.
D. Antiviral: No evidence of a viral infection in this scenario.
E. Antispasmodic: Not indicated for GER or pyloric stenosis management.

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Correct Answer is A

Explanation

A. Initiate contact precautions: RSV is a highly contagious respiratory virus spread via droplets and direct contact. To prevent transmission to others, contact precautions should be initiated.
B. Perform chest percussion and postural drainage: While these techniques can be used in some respiratory conditions, they are not the first-line intervention for RSV.
C. Encourage clear liquids by mouth: While oral rehydration may be appropriate in some cases of mild dehydration, this infant is likely experiencing respiratory distress, and oral intake may be difficult. Intravenous fluids may be required, especially if the infant is having difficulty feeding.
D. Administer IV antibiotics: RSV is caused by a virus, not a bacterial infection, so antibiotics are not effective in treating the infection.

A. Temperature 36.9°C (98.4° F) B. Heart rate 162/min C. Respiratory rate 28/min D. Also spits up after every feeding, sometimes forcefully E. Small, soft, midline bulge observed on abdomen between xyphoid process and umbilicus F. Weight 5,925 g (13 lb 1 oz). Parents report birth weight was 4,196 g (9 lb 4 oz)

Correct Answer is ["B","D","E"]

Explanation

Heart rate 162/min: Elevated for a 4-month-old at rest; tachycardia can indicate dehydration, fever, or stress.

Spits up forcefully after feedings: Forceful vomiting can suggest gastroesophageal reflux disease (GERD) or pyloric stenosis.

Small, soft midline bulge: Likely an umbilical hernia; may need monitoring or intervention if persistent or large.

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Select 2 provider prescriptions the nurse should anticipate.

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for an infant who has respiratory syncytial virus (RSV) and a respiratory rate of 46/min. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

Correct Answer is ["B","D","E"]

Explanation

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