NUR 6521 ATI Nursing Care of Children Proctored Exam
3 views 0 purchase
Course
Nur
Institution
Nur
1.A nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse?
a. Remove the chil...
NUR 6521
ATI Nursing Care of Children Proctored
Exam
1.A nurse in the emergency department is caring for a 2-year-old child who was found by his
parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and
inflamed, and he is drooling. Which of the following is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when answering this
item. This framework emphasizes the basic core of human functioning: having an open airway,
being able to breathe in adequate amounts of oxygen, and circulating oxygen to the body's
organs via the blood. An alteration in any of these can indicate a threat to life, and is therefore
the nurse’s priority concern. When applying the ABC priority setting framework, airway is
always the highest priority because the airway must be clear and open for oxygen exchange to
occur. Breathing is the second highest priority in the ABC priority setting framework because
adequate ventilatory effort is essential in order for oxygen exchange to occur. Circulation is the
third highest priority in the ABC priority setting framework because delivery of oxygen to
critical organs only occurs if the heart and blood vessels are capable of efficiently carrying
oxygen to them. The nurse observes that the child’s lips are edematous and inflamed and that he
is drooling. These findings indicate that the child might have swelling of the oral cavity and
pharynx, which can result in a compromised airway.
2. A nurse is teaching a parent of a 12-month old child about development during the toddler
years. Which of the following statements should the nurse include?
a. "Your child should be referring to himself using the appropriate pronoun by 18 months
of age."
b. "A toddler's interest in looking at pictures occurs at 20 months of age."
c. "A toddler should have daytime control of his bowel and bladder by 24 months of age."
d. "Your child should be able to scribble spontaneously using a crayon at the age of15
months."
Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be
able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokes imitatively.
, 3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV
to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set
the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
Ratio and Proportion
STEP 1: What is the unit of measurement to calculate? gtt/min
STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr)
1 hr/60 min = 4 hr/X min
X = 240 min
STEP 5: Set up an equation and solve for X.
Volume (mL)/Time (min) = drop factor (gtt/mL) = X
100 mL/240 min x 60 gtt/mL = X gtt/min
X = 25
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the
prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes sense
to administer 25 gtt/min. The nurse should set the manual IV infusion to deliver0.9%
sodium chloride IV at 25 gtt/min.
Dimensional Analysis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Stunnerwin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
