ATI Nursing care of children Nurs 341

A nurse is caring for a child who is in the emergency department after ingesting a bottle of acetaminophen. Which of the following medications should the nurse plan to administer? A.Digoxin immune fab B.Acetylcysteine C.Naloxone D.Vitamin K

B. Acetylcysteine Acetylcysteine is the antidote for acetaminophen overdose or poisoning.

A nurse is performing a visual acuity screening for a school-aged child using the Snellen letter chart. Which of the following actions should the nurse take? A.Position the child 5 ft away from the letter chart B.Have the child wear his glasses during the vision screening C.Observe for pupillary constriction while shining a light into the child's eye D.Instruct the child to point in the direction the letters are facing

B.Have the child wear his glasses during the vision screening The nurse should assess the child's visual acuity while the child is wearing prescribed glasses.

A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect? A.Crying and screaming B.Inactivity and thumb sucking C.Showing interest in nearby toys D.Attempting to escape and find the parent

B.Inactivity and thumb sucking A child who is sucking his thumb and refusing to eat or drink is displaying manifestations of the second stage of separation anxiety, which is despair.

A nurse in an emergency department is caring for a toddler who is in acute respiratory distress. Which of the following findings should alert the nurse to the possibility of epiglottitis? A.Lethargy B.Spontaneous coughing C.Drooling D.Hoarseness

C. Drooling

A nurse is caring for an adolescent who has end-stage renal disease and is scheduled for peritoneal dialysis. Which of the following actions should the nurse take? A.Position the adolescent supine during the procedure B.Have the adolescent drink 240 mL (8 oz) of fluid prior to the procedure C.Obtain the adolescent's weight prior to the procedure D.Monitor the adolescent's vital signs every 4 hours during the procedure

C.Obtain the adolescent's weight prior to the procedure The nurse should obtain a baseline weight prior to the initiation of the procedure and again following the procedure.

A nurse is assessing a preschooler who has HIV. Which of the following manifestations should the nurse expect? A.Generalized petechiae B.Jaundice C.Obesity D.Chronic diarrhea

Chronic diarrhea Chronic diarrhea is an expected finding for a preschooler who has HIV.

A nurse is teaching the parent of a school-age child who has celiac disease. Which of the following foods selected by the parent indicates an understanding of the teaching? A. Corn tortilla with black beans B. Pizza C. Canned soup D. Hot dogs

Corn tortilla with black beans

A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which of the following findings should the nurse expect? A.Absent tears B.Weight loss >10% C.Lethargy D. Dry mucous membranes

D. Dry mucous membranes

A nurse on a pediatric unit is caring for a child who has autism spectrum disorder. Which of the following actions should the nurse take? A.Provide activities to stimulate the child's interest in the environment B.Make frequent eye contact when talking to the child C.Offer the child choices when scheduling planned care D.Ensure that staff visits with the child are kept short

D. Ensure that staff visits with the child are kept short Children who have autism spectrum disorders have difficulty adjusting to new situations. The staff members should keep interactions with the child as brief as possible.

A nurse is providing teaching to an adolescent who was recently diagnosed with type 1 diabetes mellitus. Which of the following insulin injection sites should the nurse recommend that the client use during basketball competitions? A.Hip B.Upper arm C.Thigh D.Lower leg

A. Hip

A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia? A.Patch the unaffected eye B.Administer mydriatic eye drops daily C.Obtain prescription eyeglasses D.Administer antihistamines

A. Patch the unaffected eye

A nurse is providing teaching to an adolescent client who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include in the teaching? A. "Apply cold compresses to relieve your joint pain." B. "Take opioids routinely." C. "Attend school regularly." D. "Adhere to an arthritis diet."

C. "Attend school regularly." The nurse should encourage this adolescent with idiopathic arthritis to attend school. The adolescent should attend school even on days when joint pain or stiffness occurs.

A nurse is providing teaching to the parent of a toddler who has bacterial conjunctivitis. Which of the following instructions should the nurse include? A.Clean secretions from the infected eye by wiping from the outer canthus toward the inner canthus and upward B.Keep the infected eye covered with warm compresses for the first 24 to 48 hr C.Notify the provider immediately if the sclera becomes inflamed D.Apply pressure to the outer canthus of the eye for 1 min after administering the eye drops

C. Notify the provider immediately if the sclera becomes inflamed Although the conjunctiva becomes inflamed during this infection, the sclera should remain clear and white. If the sclera becomes inflamed, it can indicate the presence of a serious conjunctival infection, and the child should be assessed immediately by an ophthalmologist.

A nurse is providing teaching to a school-aged child who just had a fiberglass cast application following a lower-extremity fracture. Which of the following instructions should the nurse give the child and his parents about care during the first 48 hr? A. "Use a toothbrush to scratch under the cast if your skin itches." B. "Avoid moving your leg and the joints above and below the cast." C "Keep the cast above the level of your heart." D."Clean soil from the cast with soapy water."

"Keep the cast above the level of your heart."

A nurse is providing dietary teaching to the parent of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include? A. Provide a high-fat diet for the toddler B. Limit the toddler's daily intake of sodium C. Increase the toddler's intake of foods high in folic acid D. Allow the toddler to skip meals when he is not hungry

A. Provide a high-fat diet for the toddler Children who have cystic fibrosis have impaired intestinal absorption of fat. Therefore, the toddler will require an increased intake of fat.

A nurse is teaching the parents of an infant about treatment options for profound sensorineural hearing loss. The nurse should include which of the following pieces of information about the function of cochlear implants? A.They provide direct stimulation of auditory nerve fiber. B.They conduct sound waves through the mastoid bone to the cochlea. C.They process digital sound to amplify several sound frequencies. D.They convert vibrations in the ear's structures to electrical signals.

A. They provide direct stimulation of auditory nerve fiber.

A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parents' presence at his bedside. The nurse should add engaging the child in therapeutic play to the care plan to offer which of the following benefits? A.Decrease the child's fear of the dark B.Allow the child to manipulate toy medical equipment C.Provide an opportunity to analyze the child's emotions D.Encourage parents to engage with their child

Allow the child to manipulate toy medical equipment A major function of play therapy is making potentially unmanageable situations manageable through symbolic representation, which provides children with opportunities to learn to cope. A preschooler does not have the language development to express fear of the unfamiliar medical equipment in the hospital. By encouraging the child to touch the equipment, the nurse is helping decrease the child's fear and intimidation in a safe environment using age-appropriate vocabulary. The use of toys enables children to transfer anxieties, fears, fantasies, and guilt to objects rather than people.

A nurse is teaching the parents of a 3-year-old child who has persistent otitis media about prevention. Which of the following statements by the parents indicates an understanding of the teaching? A."My child should not play around others who have ear infections." B."We should not smoke around our child." C."My child should not swim this summer." D."I will encourage my child to blow his nose forcefully when he has a cold."

B."We should not smoke around our child." Preventing exposure to tobacco smoke at home can prevent further episodes of ear infections because tobacco smoke can cause inflammation of the respiratory tract.

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (Select all that apply.) A.Bradycardia B.Nausea C.Hypertension D.Urticaria E.Stridor

B.Nausea D.Urticaria E.Stridor A common gastrointestinal response to excessive histamine release is nausea. A common skin manifestation of excessive histamine release is hives, also known as urticaria. A serious, life-threatening response to excessive histamine release is airway narrowing, which presents as dyspnea and stridor.

A nurse is planning care for an infant with an unrepaired myelomeningocele. Which of the following actions should the nurse take? A.Fasten the diaper loosely B.Cleanse the meningeal sac with povidone-iodine daily C.Palpate the abdomen for bladder distension D.Cover the sac with a dry, sterile gauze dressing

C. Palpate the abdomen for bladder distension A neurogenic bladder is a common complication of a myelomeningocele. Even if the infant is having wet diapers, the nurse should assess for bladder distension due to the possibility of incomplete emptying of the bladder.

A nurse is assessing a school-aged child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect? A.Hypokalemia B.Decreased blood pressure C.Increased urine volume D.Periorbital edema

D.Periorbital edema Periorbital edema is a manifestation of acute glomerulonephritis. Swelling is usually worse in the mornings and spreads throughout the day to the genitalia, abdomen, and extremities.

A nurse is teaching an adolescent about various strategies for chronic pain management. Which of the following activities should the nurse use as an example of the nonpharmacological strategy of thought-stopping? A.Assemble a puzzle B.Discuss a recent pleasurable event C.Tighten and then relax each body part D.Repeat memorized facts about the painful event

D.Repeat memorized facts about the painful event