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RN Nursing Care of Children Practice 2023 A ATI/60 Questions and Answers
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RN Nursing Care of Children Practice2023 A ATI/60 Questions and Answers
A nurse is creating a plan of care for a school-age child who has heart
disease and has developed heart failure. Which of the following interventions
should the nurse include in the plan? - -Provide small, frequent meals for the
child.
The metabolic rate of a child who has heart failure is high because of poor
cardiac function. Therefore, the nurse should provide small, frequent meals
for the child because it helps to conserve energy.
-A nurse is teaching the parent of an infant who has a Pavlik harness for the
treatment of developmental dysplasia of the hip. The nurse should identify
that which of the following statements by the parent indicates an
understanding of the teaching? - -"I will place my infant's diapers under the
harness straps."
To prevent soiling of the harness, the parent should apply the infant's diaper
under the straps.
-A nurse is planning care for a school-age child who is in the oliguric phase
of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of
the following interventions should the nurse include in the plan? - -Initiate
seizure precautions for the child.
A sodium level of 129 mEq/L indicates hyponatremia and places the child at
increased risk for neurological deficits and seizure activity. The nurse should
complete a neurologic assessment and implement seizure precautions to
maintain the child's safety.
-A nurse is assessing a school-age child immediately following a perforated
appendix repair. Which of the following findings should the nurse expect? - -
Absence of peristalsis
The nurse should expect absence of peristalsis immediately following a
perforated appendix repair, until the bowel resumes functioning.
-A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take? - -Apply topical analgesic cream to
the site 1 hr prior to the procedure.
, The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the
procedure to decrease the adolescent's pain while the lumbar needle is
inserted.
-A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the skin
and angioedema. After discontinuing the medication infusion, which of the
following medications should the nurse administer first? - -Epinephrine
This child is most likely experiencing an anaphylactic reaction to the
cefazolin. According to evidence-based practice, the nurse should first
administer epinephrine to treat the anaphylaxis. Epinephrine is a beta
adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers
bronchodilation in the lungs.
-A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which of the following statements by the parent
indicates an understanding of the teaching? - -"I should keep my child
indoors when I mow the yard."
The nurse should instruct the parent to keep the preschooler indoors during
lawn maintenance or when the pollen count is increased. Guarding against
exposure to known allergens found outdoors, such as grass, tree, and weed
pollen, will decrease the frequency of the preschooler's asthma attacks.
-A nurse is proving dietary teaching to the parent of a school-age child who
has celiac disease. The nurse should recommend that the parent offer which
of the following foods to the child? - -White rice
The nurse should recommend that the parent offer white rice to the child
because it is a gluten-free food. The nurse should instruct the parent that the
child will remain on a lifelong gluten-free diet and the child should not
consume oats, rye, barley, or wheat, and sometimes lactose deficiency can
be secondary to this disease.
-A nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse
recognize as an indication of anemia? - -Hematocrit 28%
The nurse should recognize that this hematocrit level is below the expected
reference range of 32% to 44% for a school-age child. The child can exhibit
fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
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