ATI RN Nursing Care of Children Online Practice 2019 A / Q&A

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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 medicati... on infusion, which of the following medications should the nurse administer first? prednisone epinephrine diphenhydramine albuterol (ANS- epinephrine A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? "Place the infant in a prone position to sleep." "Allow the infant to sleep on a large pillow." "Use a soft mattress in the infant's crib." "Give the infant a pacifier at bedtime." (ANS- "Give the infant a pacifier at bedtime." A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following findings should the nurse expect? (Select all the apply) Negative Babinski reflex Ankle clonus Exaggerated stretch reflexes Uncontrollable movements of the face Contractures (ANS- Ankle clonus Exaggerated stretch reflexes Contractures A nurse is providing discharge teaching to the parent of a child who is 1 week postoperative following a cleft palate repair. For which of the following members of the inter professional team should the nurse initiate a referral? occupational therapist speech therapist respiratory therapist physical therapist (ANS- speech therapist A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? Position the infant side-lying with their head at a 0° to 5° angle. Perform a neurological assessment every 4 hr. Suction the infant's naers to remove secretions. Implement seizure precautions for the infant. (ANS- Implement seizure precautions for the infant. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? Place a cardiac monitor on the adolescent prior to the procedure. Apply topical analgesic cream to the site 1hr prior to the procedure. Keep the adolescent in a semi-fowler's position for 4hrs following the procedure. Restrict fluids for 2hrs following procedure. (ANS- Apply topical analgesic cream to the site 1hr prior to the procedure. A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? "Shake the medication prior to administration.". "Provide the medication through a straw." "Rinse the child's mouth with water immediately after giving the medication." "Mix the medication with applesauce if the child dislikes the taste." (ANS- "Shake the medication prior to administration." A nurse in an emergency department is performing a physical assessment on a 2 week old male newborn. Which of the following findings is priority for the nurse to report to the provider? excoriated scrotal area multiple capillary hemangiomas depressed posterior fontanel substernal retractions (ANS- substernal retractions A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse see first? A school age child who has sickle cell anemia and reports decreased vision in the left eye. School age child who has cystic fibrosis and a frequent nonproductive cough. A preschooler who has asthma and a peak flow meter reading in the green zone. An adolescent who has meningitis and reports a sensitivity to lights and noise. (ANS- A school age child who has sickle cell anemia and reports decreased vision in the left eye. A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? Reports a headache as 6 on a 0 to 10 pain scale Petechiae on the lower extremities Nuchal rigidity Positive Kernig's sign (ANS- Petechiae on the lower extremities A nurse is assessing a 3 year old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? Blood pressure 90/50 mm Hg Respiratory rate 45/min Weight 14.5 kg (32lbs) Heart rate 110/min (ANS- Respiratory rate 45/min 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% Hemoglobin 13.5 g/dL WBC count 8,000 Platelets 250,000 (ANS- Hematocrit 28% [Show More]

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