Nurse susan is reviewing the isolation prescription for matthew

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Terms in this set (9)

nurse susan is reviewing the isolation prescription for matthew. which of the following types of isolation precautions should susan implement?

contact

SBAR

S: 4-year-2-month-old male client with parent, admitted due to dehydration
B: came to clinic this morning due to diarrhea for 2 days. he has poor appetite and only had sips of fluid for more than 1 day. he is crying and reports abdominal pain. he attends day care full time and is potty trained, but is wearing diaper briefs because of the diarrhea
A: T: 38 C, P of 120/min and RR of 30/min. He has clear lung sounds, no murmur, and hyperactive bowel sounds. he is crying and has a pain level of 3 on the FACES scale.
R: admitting prescriptions for the hospital are in the computer

nurse susan completes the admission assessment of matthew. oral replacement is not an option for the client because of vomiting

initiate IV access

nurse susan is gathering supplies to insert an IV catheter for a saline lock. which of the following images includes the appropriate supplies?

B - the one w/o the gloves, w/ 3 NS, and one saline lock

nurse susan is caring for matthew who is to receive IV fluids using an infusion pump. which of the following is the correct rate of flow for the IV solution? (whole number)

133 ml/hr

nurse susan documents matthew I&O. which of the following flow sheets indicates the correct documentation?

D - the one that added the emesis and stool

based on matthew's lab findings and nurse susan's assessment, which of the following is the priority action for susan to take?

obtain a prescription for potassium

after dr. wilson changed matthew's prescription, nurse susan is preparing to administer IV potassium chloride solution. which of the following is correct technique for administering this medication?

administer an intermittent IV bolus of 5 mEq potassium chloride in 100 ml 0.9% sodium chloride over 1 hr.

food preference

applesauce

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