Nursing care of children ATI (A). All Questions and answers. Rated A+

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Nursing care of children ATI (A). All Questions and answers. Rated A+ A nurse us caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diff... use flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should nurse administer first? A. Prednisone B. Epinephrine C. Diphenhydramine D. Albuterol - Ans-B. 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? A. "Place the infant in a prone position to sleep.? B "Allow the infant to sleep on a large pillow." C. "Use a soft mattress un the infant's crib." D. "Give the infant a pacifier at bedtime." - Ans-D. "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 that apply.) A. Negative Babinski reflex B. Ankle clonus C. Exaggerated stretch reflexes D. Uncontrollable movements of the face E. Contractures - Ans-B. Ankle clonus C. Exaggerated stretch reflexes E. ContracturesThe 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? A. Occupational therapist B. Speech therapist C. Respiratory therapist D. Physical therapist - Ans-B. 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? A. Position the infant side-lying with their head at a 0 degrees to 5 degrees angle B. Perform a neurological assessment every 4 hours C. Suction the infant's nares to remove secretions D. Implement seizure predications of the infant - Ans-D. Implement seizure predications of the infant An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the nurse should implement seizure precautions for the child. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? A. Place a cardiac monitor on the adolescent prior to the procedure B. Apply topical analgesic cream to the site 1 hour prior to the procedure C. Keep the adolescent in a semi-Fowler's position fro 4 hours following the procedure D. Restrict fluids for 2 hours following the procedure - Ans-B. Apply topical analgesic cream to the site 1 hour prior to the procedureA 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? A. "Shake the medication prior to administration." B. "Provide the medication through a straw." C. "Rinse the child's mouth wont water immediately after giving the medication." D. "Mix the medication with applesauce if the child dislikes the test." - Ans-A. "Shake the medication prior to administration." The nurse should instruct the parent to shake the medication prior to administration to disperse the medication evenly within the suspension. A nurse in an emergency department is performing an admission assessment on a 2 week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? A. Excoriated scrotal area B. Multiple capable hemangiomas C. Depressed posterior fontanel D. Substernal reactions - Ans-D. Substernal reactions A nurse is receiving change-of shift report for four children. Which of the following children should the nurse see first? A. A school age child who has sickle cell anemia and reports decreased vision in the left eye B. A school age child who has cystic fibrosis and a frequent nonproductive cough C. A preschooler who has asthma and a break flow meter reading in the green zone D. An adolescent who has meningitis and reports a sensitivity to lights and noise - Ans-A. A school age child who has sickle cell anemia and reports 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 assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? A. Reports a headache as 6 on a 0 to 10 pain scale B. Petechiae on the lower extremities C. Nuchal rigidity D. Positive kerning's sign - Ans-B. Petechiae on the lower extremities The presence of a petechial or purpuric rash on a child who is ill can indicate the presence of meningococcemia. This type of rash indicates the greatest risk of serious rapid complications from sepsis and should be reported immediately to the provider. 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? A. Blood pressure 90/50 mm Hg B. Respiratory rate 45/min C. Weight 14.5 kg (32 lb) D. Heart Rate 100/min - Ans-B. 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? A. Hematocrit 28% B. Hemoglobin 13.5 g/dL C. WBC court 8,000/mm^3 D. Platelets 225,000/mm^3 - Ans-A. Hematocrit 28% [Show More]

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