The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria. The initial nursing intervention would be to:

• A.Discontinue the IV
• B.Stop the medication, and begin a normal saline infusion
• C.Take all vital signs, and report to the physician
• D.Assess urinary output, and if it is 30 mL an hour, maintain current treatment

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A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:

• A."You should ask your doctor about this."
• B."Yes, increase your insulin by 1 U for each hour of practice because exercise causes the body to need more insulin."
• C."No, do not increase your insulin. Exercise will not affect your insulin needs."
• D."No, do not increase your insulin, but eating a snack prior to practice exercise will make insulin more effective and move more glucose into the cells."

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A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospitalization, the child was placed under an oxygen mist tent. The nurse's frequent monitoring of the child's temperature frightened her parents. Which response by the nurse would be most appropriate?

• A.Monitoring the temperature prevents undue chilling.
• B.Rapid temperature elevations can occur in children.
• C.Checking the temperature will prevent febrile seizures.
• D.Taking the child's temperature can prevent airway obstruction.

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The following medications were noted on review of the client's home medication profile. Which of the medications would most likely potentiate or elevate serum digoxin levels?

• A.KCl
• B.Thyroid agents
• C.Quinidine
• D.Theophylline

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An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:

• A.Take the child to her room and calmly and matter-offactly begin to get her ready to go to the operating room
• B.Take time to orient the child and her family to the hospital and the forthcoming events
• C.Explain that as soon as the child goes to the operating room she will have time to answer any questions the family has
• D.Tell the child and her family that there is nothing to worry about, that the operation will not take long, and she will soon be as "good as new"

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