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A nurse is caring for a preschooler on the pediatric unit.

After reviewing the assessment findings, which of the following actions should the nurse take?

Select the 4 actions the nurse should take.

A) Monitor vital signs frequently
B) Discontinue supplemental oxygen.
C) Administer epinephrine IM.
D) Administer 0.9% sodium chloride IV

User Ohad Meir
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1 Answer

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Final answer:

The correct actions a nurse should take for a preschooler in a pediatric unit depend on the specific assessment findings but commonly include monitoring vital signs and administering necessary fluids such as 0.9% sodium chloride IV. Discontinuation of oxygen or administration of epinephrine are contingent on the patient's condition. An IV delivery order by a physician must be carefully prepared or retrieved according to hospital protocol.

Step-by-step explanation:

The subject question pertains to the appropriate nursing actions after performing an assessment on a preschool child in the pediatric unit. While the provided information does not detail the specific assessment findings, the correct actions would most likely include:

  • Monitoring vital signs frequently to ensure stability and detect any changes in the child's condition.
  • Considering the administration of 0.9% sodium chloride IV if the child is dehydrated or requires fluid replacement for another reason.

The actions to discontinue supplemental oxygen or to administer epinephrine IM are situation-dependent and cannot be selected without additional context such as the child's oxygen levels or a presentation of an allergic reaction requiring epinephrine.

In the scenario where a physician orders an intravenous (IV) delivery of 100 mL of 0.5% KCl for a patient with hypokalemia, typically hospital protocol would have a staff member retrieve the appropriate IV bag from the supply if available or prepare it following hospital guidelines to ensure accurate concentration and sterility.

User ShanePowser
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