Which adventitious breath sound would a nurse expect to auscultate in a child admitted with an asthma exacerbation?

Choice A rationale:

While monitoring the total white blood cell count is important, it is not the priority assessment for a child with Hirschsprung disease. The disease primarily affects the gastrointestinal system.

Choice B rationale:

Serum potassium level within the normal range (4.2 mEq/L) is relevant, but it doesn't take precedence over assessing symptoms directly related to Hirschsprung disease.

Choice C rationale:

Nonbilious vomiting could indicate a bowel obstruction, a potential complication of Hirschsprung disease. Prompt assessment is necessary to prevent further complications.

Choice D rationale:

Watery diarrhea might occur in Hirschsprung disease, but it's not as urgent as addressing vomiting, which could indicate a more immediate problem like bowel obstruction.

Choice A rationale:

Replacing the dressing if bleeding is noted is appropriate as it helps maintain a clean and sterile site post-catheterization.

Choice B rationale:

Positioning the child in a flat-lying position immediately after cardiac catheterization is incorrect. The child should be placed in a specific position, such as semi-Fowler's, to avoid complications and promote comfort.

Choice C rationale:

Monitoring the pulses distal to the site is essential to assess circulation and potential complications after the procedure.

Choice D rationale:

Checking the vital signs every 15 minutes is appropriate post-catheterization to detect any hemodynamic changes or complications.