What nursing action is appropriate to take when an infant with a congenital heart defect has increased respiratory rate, is sweating, and is not feeding well?

Which congenital heart disease causes cyanosis when not repaired? (select all that apply)

The primary problem in cystic fibrosis is the production of thin, watery mucus that helps clear airways.

A pediatric client is admitted to the hospital unconscious. The client has a history of type 1 diabetes, and according to the clients mother, has been to two birthday parties in the last few days and has resisted taking the prescribed insulin. At school the client had two more pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this client's unconscious state?

Phase 1

A 5 year old is brought to her pediatrician for an annual routine checkup. Her grandparents, who are also the legal guardians, are with her. The child has not seen her pediatrician in a year. The child recently had a visit to the urgent care center and was treated for strep throat. The grandparents are concerned about the child’s weight gain. They state no matter how much she eats she cannot gain weight and is hungry all of the time. 

Phase 2

The primary care office does not have a glucometer available, so the provider orders a urinalysis dip stick test. The urinalysis shows a glucose of over 500mg/dl with blood, leukocytes, and ketones.  The results are shared with the grandparents along with the potential diagnosis and complications. The child’s grandparents are visibly upset and start asking the nurse questions about their grandchild.

Place each nursing action for the infant’s care during hospitalization into one of the 3 categories: indicated (appropriate or necessary), contraindicated (could be harmful), or non-essential (makes no difference or not necessary)

An 18-month-old is admitted to the emergency department in hypovolemic shock. What would be the correct order of nursing interventions (assuming MD orders are written)?

Aspirin is a part of the treatment for children with Kawasaki disease.

While caring for an 18 month old male with a diagnosis of kawasaki disease, which of the following would be an indication of deterioration?

The diabetes educator has completed his teaching with a family and 13 year old child with newly diagnosed type 1 diabetes. The nurse knows the teaching has been effective when the child states:

Phase 2:

A 10-week-old is brought to the emergency department with three days of rhinorrhea, congestion, and cough. He is presenting with mild intercostal retractions, congested cough, HR: 178, RR: 65 breaths/min, his capillary refill is >4 seconds, O2 Sat: 92% on RA, T- 99.2 F, wheezing is heard bilaterally, & mother feels the infant needs help breathing. Unable to stay latched to breast. Restless and has head bobbing. Mother at bedside.

Which nursing actions (interventions) are indicated for infant’s care at this time? (select all that apply)

A two-month-old infant is hospitalized for repair of a ventricular septal defect. The infant’s admitting diagnosis is moderate congestive heart failure. What signs and symptoms would you expect to see in your assessment?