ATI Peds: Learning System RN 3.0 Nursing Care Of C
ATI Peds: Learning System RN 3.0 Nursing Care of C
Exam (elaborations)
ATI Peds: Learning System RN 3.0 Nursing Care of Children Exam 2, Questions & Answers
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ATI Peds: Learning System RN 3.0 Nursing Care of C
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ATI Peds: Learning System RN 3.0 Nursing Care Of C
ATI Peds: Learning System RN 3.0 Nursing Care of Children Exam 2, Questions & Answers-A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the following actions should the nurse take first?
Cover the child's wound...
ATI Peds: Learning System RN 3.0 Nursing Care of Children Exam
2, Questions & Answers
A nurse in an emergency department is caring for a 4-year-old child who has burns
to the neck and face following a house fire. Which of the following actions should
the nurse take first?
Cover the child's wounds with a clean, dry cloth.
Establish IV access for the child with a large-bore catheter.
Provide reassurance to the child's parents.
Determine the child's breathing pattern. - Determine the child's breathing pattern.
The nurse should apply the ABC priority setting framework. 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. Determining the child's
breathing pattern is the first action the nurse should take. 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.
A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition.
Which of the following statements by the parent indicates an understanding of the
teaching?
"My child should consume 1,000 calories per day."
,"My child should have 4 ounces of protein per day."
"I should give my child 32 ounces (4 cups) of milk per day."
"I should feed my child 4 ounces (1/2 cup) of vegetables per day." - "My child
should consume 1,000 calories per day."
Toddlers who are 2 years old should consume 1,000 calories daily.
A nurse is providing discharge teaching to the parent of a school-age child who has
leukemia and is receiving chemotherapy. Which of the following statements by the
parent indicates an understanding of the teaching?
"I will take my child's rectal temperature daily."
"I will make sure my child gets his MMR vaccine this week."
"I will inspect my child's mouth every day for sores."
"I will allow my child to ride his
bicycle tomorrow." - "I will inspect my child's mouth every day for sores."
A child who has leukemia is at an increased risk for mucositis; therefore, the parent
should inspect the child's mouth daily for lesions or ulcerations.
A nurse is preparing to obtain an antistreptolysin O (ASO) titer from a child who
has acute glomerulonephritis. The child's parent asks the nurse to explain the
purpose of the test. Which of the following responses should the nurse make?
"The test determines the level of antibiotics in your child's blood."
"The test tells us if your child ever had the measles."
"The test verifies the amount of albumin in your child's blood."
, "The test shows us if your child had a recent strep infection." - "The test shows us
if your child had a recent strep infection."
An ASO titer indicates that the child has had a recent strep infection. In
determining a definitive diagnosis for acute glomerulonephritis, this must be
documented as it is usually the result of this type of infection.
A nurse is providing nutritional teaching to an adolescent client who has celiac
disease. Which of the following breakfast foods should the nurse recommend?
Plain flour pastry
Wheat cereal
Scrambled eggs
Rye toast - Scrambled eggs
The client who has celiac disease should be on a low-gluten diet and should avoid
foods containing barley, oat, rye, and wheat; therefore, scrambled eggs are an
appropriate breakfast item for the nurse to recommend to the client.
A nurse is providing teaching to an adolescent who has scoliosis and a new
prescription for a Boston brace. Which of the following responses by the
adolescent indicates an understanding of the teaching?
"I can take my brace off to sleep every night at bedtime."
"I can take my brace off for about an hour daily to shower."
"I should loosen the straps on my brace if it is rubbing my skin."
"I should place the pads of brace against my skin with a t-shirt over them." - "I can
take my brace off for about an hour daily to shower."
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