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    RN HESI PAEDIATRICS Proctored Exam 2
    Select All That Apply

    A patient's flow chart is as below. 0800 Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%. Admit to the paediatric floor Monitor heart rate and oxygen saturation continuously Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94% 0845 The nurse is reviewing the assessment. Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.

    Explanation & Rationale

    C. Albuterol: Albuterol is a bronchodilator that helps to relieve bronchoconstriction and improve airflow. It is commonly used to treat wheezing and respiratory distress in conditions like croup. D. Racemic epinephrine: Racemic epinephrine is a vasoconstrictor and bronchodilator that can help reduce upper airway edema and improve breathing. It is often used in the treatment of croup to alleviate stridor. Incorrect answers: A. 5% dextrose: Dextrose is a type of sugar solution used for various purposes, including providing energy. However, it is not indicated for the immediate management of inspiratory stridor and respiratory distress. B. Acetaminophen: Acetaminophen is a fever and pain reducer. While fever control might be important, it doesn't address the child's primary respiratory symptoms. E. Morphine: Morphine is an opioid analgesic and can depress the respiratory drive. It is not indicated for the treatment of respiratory distress in a child with inspiratory stridor. F. Aspirin: Aspirin is not recommended for use in children due to the risk of Reye's syndrome, a potentially serious condition. Additionally, aspirin does not address the child's respiratory symptoms.

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