1315: The child will be admitted to the PICU from the emergency department (ED) due to multiple hypercyanotic episodes at home. Over the past three days, the child has experienced two spells per day, one of which was so severe that the parents nearly initiated CPR. Parents are concerned about the lack of weight gain. Surgical repair had been scheduled for next month; however, we will defer to cardiology for any updated recommendations regarding surgery.
- Fetal alcohol syndrome
- Tetralogy of Fallot
- Premature, born at 35 gestational weeks
4.9 kilograms (10.78 pounds)
The nurse in the PICU plans care for this client.
➢ For each potential nursing intervention, click to specify whether the intervention is indicated or not indicated for the care of the client.
Note: Each row must have one (1) response option selected.
- A. Supervise the infant's 'tummy time'
- B. Monitor serum hemoglobin and hematocrit
- C. Request an order for a low-calorie formula
- D. Feed the infant slowly and at infrequent intervals
- E. Bathe the infant more frequently
- F. Request an order for intravenous (IV) morphine sulfate
- G. Dim the lights and play soothing music
- H. Request an order for propranolol
- I. Adjust the room temperature so it is cold
- J. Position the infant prone for sleeping
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