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RN Pediatric Nursing Online Practice 2023 A questions with correct answers
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RN Pediatric Nursing Online Practice 2023 A questions with correct answers
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RN Pediatric Nursing Online Practice 2023 Aquestions with correct answers
A nurse in an emergency department is caring for a school-age child
who is experiencing an anaphylactic reaction. Which of the following is
the priority action by the nurse? Correct Answer-Administer epinephrine
IM
Rationale: When using the urgent vs. non-urgent approach to client care,
the nurse should determine that the priority action is administering
epinephrine IM to the child. During an anaphylactic reaction, histamine
release causes bronchoconstriction and vasodilation. This is an
emergency because ultimately it causes decreased blood return to the
heart.
A nurse in a pediatric emergency department is planning care for an
adolescent. Based on the information in the adolescent's medical record,
which of the following actions should the nurse plan to take?
Select all that apply. Correct Answer-Apply supplemental oxygen
Rationale: According to the medical record and chest x-ray report, the
adolescent could potentially have a pneumothorax. Also according to the
medical record and chest x-ray report, the adolescent's oxygen saturation
level is decreasing, which indicates hypoxia. Therefore, the nurse should
plan to administer supplemental oxygen.
Prepare for chest tube insertion
,Rationale: According to the medical record and chest x-ray report, the
adolescent could potentially have a pneumothorax. A pneumothorax is
the presence of air in the pleural cavity, which results in decreased lung
expansion. The adolescent could experience dyspnea, tachypnea,
tachycardia, hypoxia, and pain. This requires prompt intervention by the
provider, such as the placement of a chest tube into the thoracic cavity to
remove air and fluid from the pleural space, if present, allowing the lung
to re-expand.
A nurse in an emergency department is caring for a school-age child
who has epiglottitis. Which of the following actions should the nurse
take? Correct Answer-Monitor the child's oxygen saturation
Rationale: The nurse should monitor the child's oxygen saturation level
because the child is experiencing acute respiratory distress and it is
necessary to determine if the child is responding to treatment.
A nurse is providing teaching about play activities for social
development to the guardians of a preschooler. Which of the following
play activities should the nurse recommend for the child? Correct
Answer-Playing dress-up
Rationale: The nurse should instruct the guardians that at the preschool
age, play should focus on social, mental, and physical development.
Therefore, playing dress-up is a recommended play activity for this
child.
, A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse see first? Correct Answer-A
school-age child who has sickle cell anemia and reports decreased vision
in the left eye
Rationale: When using the urgent vs. non-urgent approach to client care,
the nurse should determine the priority finding is a report of decreased
vision in the left eye. This finding indicates that the child is experiencing
a vaso-occlusive crisis and should be reported to the provider
immediately. Therefore, the nurse should see this child first.
A nurse is providing teaching to the parents of a preschooler who has
heart failure and a new prescription for digoxin twice daily. Which of
the following instructions should the nurse include in the teaching?
Correct Answer-"Brush the child's teeth after giving the medication."
Rationale: The nurse should instruct the parents to brush the child's teeth
after administering digoxin to prevent tooth decay caused by the
medication, which comes as a sweetened liquid to enhance the taste.
A nurse is providing teaching to the parent of an infant who has diaper
dermatitis. The nurse should instruct the parent to apply which of the
following to the affected area? Correct Answer-Zinc oxide
Rationale: Diaper dermatitis is a common inflammatory skin disorder
caused by contact with an irritant such as urine, feces, soap, or friction,
and takes the form of scaling, blisters, or papules with erythema.
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