You are a Registered Nurse (RN) working
You are a Registered Nurse (RN) working an early shift (07:00-15:30) in the Paediatric ward of Horizon Hospital and Health Service (HHHS), and have been allocated to care for Patrick Jones, Matilda Braithwaite, Christian Russo and Dyllan Jones: Patrick Jones is a 3-month-old infant admitted to the Paediatric ward with Gastroenteritis. He presented to the Emergency Department (ED) with his mother Annie with a 48-hour history of vomiting and diarrhoea. Patrick’s older sibling has also been experiencing similar signs and symptoms. 1. Annie states that she believes Patrick has a stomach ache. Which of the following options is the most appropriate pain assessment tool for Patrick? a. The Verbal Numerical Rating Scale. b. The Wong-Baker Faces Scale. c. The FLACC Scale. d. Any of these options, depending on clinical presentation. 2. You are preparing to administer paracetamol for Patrick. Which of the following statements BEST describes the nursing actions to ensure medication safety prior to administering the paracetamol? a. Refer to the Australian Medicines Handbook Children’s Dosing Companion for the recommended dosage per kilogram (kg). b. Look up the medication safety information via an internet search engine. c. Refer to a senior Registered nurse for advice. d. Ask Patrick’s mother, Annie, how much was administered in the previous dose. 3. You are administering paracetamol for Patrick at 12:00pm. The recommended safe dose for paracetamol is 15mg/kg/dose. The stock strength of paracetamol suspension is 50mg/ml. What volume of paracetamol will you administer? a. 1.5ml b. 5ml c. 2ml d. 1.2ml 4. Which of the following fluid options will the Registered nurse (RN) offer to Patrick at 08:00AM? a. 100ml oral feed of Aptamil b. 50ml oral Hydralyte c. Breastfeeds as tolerated d. 50ml Hydralyte via nasogastric tube (NGT)
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