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Childs ATI Capstone|86 Q’S AND A’S
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Childs ATI Capstone|86 Q’S AND A’S
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Childs ATI Capstone|86 Q’S ANDA’S
A home health nurse is providing teaching about post seizure management
to the
parents of a school age child who has epilepsy and experiences tonic-clonic
seizures.
Which of the following instructions should the nurse include in the teaching?
(Select
all that apply.)
"Hyperextend your child's head for 5 minutes following a seizure."
"Immediately following a seizure, give your child 6 ounces of water."
"Following a seizure, record the length and characteristics of your child's
seizure."
"Administer rectal diazepam to your child following a seizure."
"Call for emergency medical services if the size of your child's pupils are
unequal after a seizure. - -"Following a seizure, record the length and
characteristics of your child's seizure."
"Call for emergency medical services if the size of your child's pupils are
unequal after a seizure.
-A nurse in a pediatric clinic is discussing the pathophysiology of Reye
syndrome
with a newly licensed nurse. Which of the following statements by the newly
licensed
nurse indicate an understanding of the disorder?
"Reye syndrome causes fatty changes in the liver."
"Reye syndrome leads to venous thrombus formation."
"Reye syndrome is associated with misuse of acetaminophen."
"Reye syndrome is linked to decreased serum ammonia levels - -"Reye
syndrome causes fatty changes in the liver."
-A nurse is teaching the parents of a toddler about strategies to manage
temper
tantrums. Which of the following instructions should the nurse include in the
teaching?
"Honor the child's request if she holds her breath."
"Establish a structured daily routine for the child."
"Place the child in her room alone until the temper tantrum ends."
"Comfort the child during the temper tantrum." - -"Establish a structured
daily routine for the child."
, -A nurse is completing an assessment following suctioning of a child who
has a
tracheostomy. Which of the following findings should the nurse identify as an
indication that the procedure has been effective?
Increased respiratory rate
Decreased oxygen saturation
Clear breath sounds
Increased oral secretions - -Clear breath sounds
-A nurse is developing a plan of care for a 4-year-old child who has
hemophilia and is
experiencing acute hemarthrosis. Which of the following interventions should
the
nurse include in the plan?
Have the child perform passive range-of-motion exercises.
Administer aspirin as needed for pain.
Place ice packs on the affected joints.
Position the lower extremities below the level of the heart - -Place ice packs
on the affected joints.
-A nurse in the emergency department is caring for a preschooler who has
epiglottitis. Which of the following actions should the nurse take?
Place the child in a left lateral position.
Obtain a specimen from the child's throat for a culture.
Inspect the child's throat with a padded tongue depressor.
Initiate droplet precautions for the child - -Initiate droplet precautions for the
child
-A nurse is providing teaching to the parent of a child about home care
following a
cardiac catheterization. Which of the following statements should the nurse
include?
"You should give your child aspirin if they report pain at the site."
"You can remove the pressure dressing 8 hours after the procedure."
"Your child can soak in the bathtub 24 hours after the procedure."
"Your child should avoid strenuous physical activities for several days -
-"Your child should avoid strenuous physical activities for several days
-A nurse is admitting a child who has pertussis. Which of the following
isolation
precautions should the nurse initiate?
Droplet
Contact
Airborne
Protective environment - -Droplet
, -A nurse on a pediatric unit is receiving change-of-shift report for a group of
clients.
Which of the following clients should the nurse see first?
A child who is postoperative following a tonsillectomy and reports moderate
throat pain
A child who had a cardiac catheterization using the femoral artery and has
blanching of the toes
A child who has bacterial pneumonia and is due for their initial dose of IV
antibiotics
A child who has juvenile idiopathic arthritis and needs assistance with
application of prescribed
splints - -A child who had a cardiac catheterization using the femoral artery
and has blanching of the toes
-A nurse in a pediatric clinic is performing a history and physical for a
toddler who is
scheduled to receive a measles, mumps, and rubella (MMR) immunization.
Which
of the following findings indicate that the immunization should be withheld?
Temperature of 38° C (100.4° F)
Family history of sudden infant death syndrome (SIDS)
Taking an antihistamine for seasonal allergies
Receiving prednisone for nephrotic syndrome - -Receiving prednisone for
nephrotic syndrome
-A nurse is instilling optic drops into an 18-month-old child's ears. Which of
the following
methods should the nurse use?
Pull the pinna down and back.
Insert the dropper into the ear canal.
Administer the ear drops at 5.5° C (42° F).
Massage the area behind the ear - -Pull the pinna down and back.
-A nurse is providing teaching to an adolescent who has a new prescription
for
cefazolin. For which of the following adverse effects should the nurse instruct
the
adolescent to monitor and report to the provider?
Dry mouth
Constipation
Back pain
Urticaria - -Urticaria
-A nurse is providing discharge teaching to the parents of a child who has
sickle cell
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