CSF analysis shows: glucose 36 mg/dL, protein 110 mg/dL, and WBCs (PMNs) 1,000/microliters. These findings are indicative of:
While ventilating with 100% FiO₂ via Ambu bag, an intubated child desaturates. Breath sounds are decreased in all fields. What is the best action?
A child is admitted following chest trauma, and a small pneumothorax (less than 10%) is noted. A nurse should anticipate which of the following?
A 6-month-old patient presents with bronchiolitis and respiratory distress. Upon admission, the patient has mild retractions, scattered crackles, copious secretions, diarrhea with significant diaper dermatitis, and weight/height/head circumference less than the 5th percentile. The patient's vital signs are:
BP: 80/45
HR: 150
RR: 42
Temp: 98.8°F (37.1°C)
SpO₂: 96% on 4L heated high flow nasal cannula
A nurse should consider that the patient:
During an exchange transfusion for sickle cell crisis, the patient becomes anxious and reports tingling and numbness around the mouth. The nurse should administer:
Family members have been complaining about limited visiting hours. To facilitate a potential change in practice, a nurse should first:
A patient asks the nurse to join in saying bedtime prayers. The nurse is not comfortable with this practice. Which of the following is the nurse’s most appropriate response?
Following resuscitation of a 2-year-old near-drowning patient, which of the following changes is indicative of a poor neurologic outcome?
A school-age child is admitted in acute respiratory failure requiring mechanical ventilation. Endotracheal aspirate Gram staining is positive for an acid-fast bacillus. The nurse’s initial action should be to:
An adolescent with recurrent leukemia expresses a desire to die peacefully. Weeks later, the patient is critically ill and the parents ask whether to escalate care. The nurse’s most appropriate response is:
