The nurse getting an end-of-shift report on a child with status asthmaticus should question which intervention?
A) Administer oxygen by nasal cannula to keep oxygen saturation at 100%.
B) Assess intravenous (IV) maintenance fluids and site every hour.
C) Notify provider for signs of increasing respiratory distress.
D) Organize care to allow for uninterrupted rest periods.

Question

Quizplus · Accepted Answer

Supplemental oxygen should not be administered to maintain oxygen saturation at 100%.Keeping the saturation around 95% is adequate.Administration of too much oxygen to a child may lead to respiratory depression by decreasing the stimulus to breathe,leading to carbon dioxide retention.When the child cannot take oral fluids because of respiratory distress,IV fluids are administered.The child with a continuous IV infusion must be assessed hourly to prevent complications.A provider should be notified of any changes indicating increasing respiratory distress.A child in respiratory distress is easily fatigued.Nursing care should be organized so the child can get needed rest without being disturbed.

The Nurse Getting an End-Of-Shift Report on a Child with Status