An 11-year-old complains of severe pain after an appendectomy. The physician orders fentanyl, 25
• Fentanyl, when administered IV, has a quick onset of 1 minute, a peak of 3 to 5 minutes, and a duration of 30 to 60 minutes.
• Fentanyl (Sublimaze) increases the patient's pain threshold, altering pain reception. Fentanyl is 50 to 100 times as potent (a much smaller dose is required) as morphine with less of hypotensive effects than morphine or meperidine due to minimal or no histamine release.
An 8-year-old child is seen at the clinic with complaints of pain, pustular drainage of the eyes, and sensitivity to light. Upon assessment, the nurse observes reddened, watery eyes. Based on the initial data, these symptoms are indicative of
A toddler with Clostridium difficile is prescribed a medication for peptic ulcer prophylaxis. Which of the following would the nurse expect to be prescribed?
After several days in traction, the patient has a long leg fiberglass cast applied to his left leg. Before the patient is discharged, the nurse should instruct the patient on which of the following?
A child is receiving chemotherapy after surgery for a neuroblastoma. Which of the following nursing interventions can help prevent or reduce nausea and vomiting during chemotherapy?
A teenager is being seen by a nurse during a sports physical. The patient complains about how her acne is perceived by others. This patient is in what stage of development?
A 10-year-old girl is brought to the emergency department by her parents because of nausea, vomiting, and abdominal pain. The nurse suspects acute appendicitis. It would be most important to obtain which of the following?
A child is admitted to the hospital with croup. The nurse expects the physician to order which nebulizer treatment?
A nurse is caring for a preterm infant. Upon assessment, the infant has a wide pulse pressure and presence of a machine-like murmur at the left sternal border. She suspects patent ductus arteriosus. Which of the following promote closure of the ductus arteriosus?
The mother of an 8-year-old expresses surprise that her son is finally becoming more cooperative and understanding the consequences of his actions. This describes which of the following stages of development?
A 5-week-old boy is admitted to the hospital for pyloric stenosis. While assessing the infant, the nurse is likely to note which of the following?
A 7-year-old has begun bedwetting again after the birth of a new sibling. The child's parents ask the nurse if this is normal. The nurse teaches the parents about which ego defense mechanism?
To ensure optimum care for a patient with acute glomerulonephritis, the nurse's plan of care should include:
The nurse is caring for a 14-year-old girl with scoliosis and a curvature greater than 50 degrees. The patient underwent a posterior spinal fusion with implants. Postoperatively, the priority nursing action to prevent complications is
A 3-year-old girl is rushed to the emergency room due to cyanosis precipitated by crying. Her mother notes that she gets tired easily after playing. The girl is diagnosed with Tetralogy of Fallot. The immediate nursing intervention for her cyanosis is
A 5-month-old girl is admitted to the hospital with chronic constipation, foul-smelling and ribbon-like stool, and abdominal distention. Upon assessment, the nurse suspects Hirschsprung's disease. The diagnosis is confirmed if a barium enema reveals
When planning care for a 10-month-old infant with dehydration, which of the following interventions would be the most accurate for monitoring hydration status?
A 5-year-old with a respiratory syncytial virus infection has a low-grade fever. His mother asks the nurse if aspirin is a good medication for fever and pain related to the infection. The nurse warns the mother to avoid giving aspirin to her child because it is linked to:
An infant was measured at 8 pounds 2 ounces at birth. Assuming the infant grows at a normal rate, what is the weight change at 6 months of age?
An 18-year-old has been diagnosed with asthma. The nurse is providing patient education and warns the patient not to use which medication?
A 5-year-old is admitted to the hospital with DKA. To prevent cardiac arrhythmias, which lab result should the nurse monitor closely?
The nurse is assessing a patient suspected of having Hodgkin's lymphoma. What is the most common area where the nurse would expect to note lymphadenopathy?
Before administering diphtheria, tetanus, and pertussis (DTaP) vaccine, the nurse should inform the infant's parents that which of the following reactions may develop?