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ATI RN PEDIATRIC NURSING 2024 A,B&C 100% VERIFIED SOLUTIONS
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ATI RN PEDIATRIC NURSING2024 A,B&C 100% VERIFIED
SOLUTIONS
An 18-month-old is discharged from the hospital after having a febrile
seizure secondary to exanthem subitum (roseola). On discharge, the
mother asks the nurse if her 6-year-old twins will get sick. Which
teaching about the transmission of roseola would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.
4. Monitor older children for seizure development.
. 2. The route of roseola transmission is unkown, and the disease is
more commonly seen in children 6 months to 3 years of age, so siblings
do not need to be isolated.
Which would be the priority intervention for a child suspected of having
varicella (chickenpox)?
1. Contact precautions
2. Contact and droplet respiratory precautions?
3. Droplet respiratory precautions?
4. Universal precautions and standard precautions.
2. Varicella (chickenpox) is highly contagious. Contact & droplet
respiratory precautions should be started immediately because the
primary source of transmission is secretions of the respiratory tract
(droplet) and also by contaminated objects.
A lotion containing diphenhydramine. Should not be applied if child has
already been given benadryl (diphenhydramine) because it can cause
toxicity.
Which s&s would the nurse expect with rheumatic fever?
1. Ankle and knee joint pain.
2. Negative group a beta strep culture.
,3. Large, red "bulls eye" - appearing rash.
4. Stiff neck with photophobia.
Ankle and knee joint pain.
The parents of a 12-month old with hiv are concerned about him
receiving routine immunizations. What will the nurse tell them about
immunizations?
"you are concerned about your child receiving immunizations. Let me
explain why your child will not receive routine immunizations today"
the nurse acknowledges a client's fears and then discusses the
concerns to clarify any misconceptions. Immunizations and influenza
vaccine are recommended to prevent infection. Immunocompromised
hiv-infected children should not receive mmr and varicella live vaccines.
Nursing assessment suspects the newborn has cystic fibrosis. Which
interventions would the nurse begin.
1. Observe frequency and nature of stools.
2. Provide chest pt
3. Observe for weight gain.
4. Assess parent's compliance with fluid restrictions.
5. Assess respiratory system frequently.
1&3
cystic fibrosis is an inherited autsomal trait, causing exocrien gland
dysfunction. 7-10% present meconium ileus, so assessing stool
frequency and consistency is important.
Assessing weight is important in newborns because they lose up to 10%
of their birth weight, and can take 2 weeks for them to regain their birth
weight.Assessing the newborn's respiratory system frequently would be
monitored as frequently as other infants if the newborn has no
respiratory symptoms. Chest pt would not be initiated in a newborn
,without a definitive diagnosis.Can a mother breastfeed their infant if they
have pku?
Yes. Breast milk has low amounts of phenylalanine, so the mother can
breast as long as the infants phenylalanine level is monitored.
Vaccines given routinely at 15 months.
Hib & dtap
Which priority intervention for the newborn of a mother positive for
hepatitis antigen?
The newborn should receive both hepatitis b vaccine and hepatitis b
immune globulin within 12 hours of birth to prevent hepatitis b infection.
Signs of intussusception
Bloody stools or "currant jelly stools", diarrhea, large palpable sausage
shaped mass in the abdomen, abdominal distention, grunting,
dehydration fever, and pain (legs pulled towards abdomen)!
Flat ribbon stools indicate
Hirschsprung disease
Treatment for intussusception
Barium or air enema
Nursing care for intussusception
, Document i & o
monitor for peritonitis & perforation
monitor and record stools
Biggest complications of intussusception
Peritonitis and perforation
Risk factors for intussusception
Cystic fibrosis
ages 3 months to 3 years old.
Complication of mal-rotation & valvolus
Pain related to rotation of intestines around the mesenteric artery can
cut off circulation, leading to potential septic intestinal necrosis.
Which pediatric gi disorder presents with green bilious vomiting?
Mal-rotation and valvolus
Gi disorders that present with bloody stools?
Mal-rotation/valvolus & intussusception.
Obstructive gi disorders where a palpated sausage shaped mass is felt
on the abdomen.
Mal-rotation and valvolus. Symptoms for these disorders are similar but
mal-rotation requires surgical intervention.
Preoperative care for mal-rotation/valvolus
Hydration, iv antibiotics, ng tube.
Post-operative care for intussusception
Bowel sounds should return in four hours, progressive diet, hydration.
Priority nursing diagnosis for intussusception
Acute pain!
Which response about safety measures is the most appropriate advice
for the 2 year old's mother who had her older home remodeled to reduce
the lead level? Select all that apply.
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