Which of the following types of isolation precautions should Susan implement?
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Contact
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Nurse Mary gave a report to Nurse Susan; SBAR format:
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S: 4 yo male pt, with his mom, admitted for dehydration
B: The pt has had diarrhea for 2 days. Has poor appetite and only had sips of fluid for more than 1 day. He is crying and reports abd pain. He attends day care full time and is potty trained but is wearing diaper briefs because of diarrhea.
A: Elevated temp of 38 degrees C, HR 120 bpm, RR 30 breaths/min. He has clear lungs, no murmurs, hyperactive bowel sounds. He is crying and has pain level of 3 using the FACES scale.
R: Admitting prescriptions for the hospital are in the computer.
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Which of the following is the priority action based on the assessment?
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Initiate IV access
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Appropriate supplies to insert an IV cath for saline lock?
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Image B
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IV flow rate
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133 mL/hr
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Correct documentation of I&O
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Image D
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Based on lab findings and assessment, which is the priority action?
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Obtain rx for potassium.
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Correct technique for administering IV KCl?
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Administer an intermittent IV bolus of 5 mEq KCl in 100 mL 0.9% NaCl over 1 hr.
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Teaching the mom about using clotrimazole cream to tx diaper rash, should include?
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Dry skin thoroughly before applying the medication
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Age appropriate toys (SATA)
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Crayons, army guys, blocks, tractor
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Which of the following statements is a therapeutic response?
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"There are many resources available to you while you are here. We can discuss them if you like."
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Nurse Susan is preparing to administer promethazine (Phenergan), available is 25 mg/mL.
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0.28 mL, image B
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Which of the following is the appropriate site for the IM injection?
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Vastus lateralis
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Nurse review prelim stool culture findings and is preparing to explain the results to the mom.
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Matthew's diarrhea will subside in 1 week.
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DC instructions should include
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Matthew should incorporate oral rehydration with a regular diet.
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