A febrile 2 y/o presents with diarrhea, decreased oral intak…

A febrile 2 y/o presents with diarrhea, decreased oral intake, and decreased urine output for the last 2 days. He is lethargic and lab results include Na 127, K 3.3, CO2 13, BUN 48, Cr 1.8, WBC 18000, Hgb 8, HCT 24, platelets 83000.  Which of the following diagnoses should be first on the differential list?

A PICU ACPNP is on the unit’s patient safety committee and n…

A PICU ACPNP is on the unit’s patient safety committee and notes a rise in the occurrence of urinary tract infections in children with Foley catheters. The ACPNP does a literature review and determines an evidence-based approach for prevention.  What is the next best step?