Pediatric ATI Final

A nurse is planning care for a 10-month-old infant who has suspected failure to thrive (FTT). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

A. Observe the parents actions when feeding the child B. Maintain detailed record of food and fluid intake C. Follow the child's cues to time food and fluids D. Sit beside the child's high chair for feedings E. Play music videos during scheduled meal times Answers (A, B) Rationale: Inappropriate feedings techniques and meal patterns provided by parents can contribute to a child's growth failure. A nutritional goal for this child who has suspected FTT is to correct nutritional deficiencies, which can be identified by recording all food and fluid intake

A nurse is providing teaching to the guardian of a 9-month old infant who has a new prescription for an oral liquid medication. Which of the following points should the nurse include in the teaching?

A. Mix the medication into a small amount of your infant's formula to disguise the taste B. Use an oral syringe to measure your infants medicine accurately C. Position your infant supine when administering the medication D. Assist your infant with drinking the medicine from a small paper cup Answer: B Rationale: An oral syringe is the best method for accurately measuring small amounts of liquid medications. Additionally, the syringe allows the caregiver to deposit small amounts of the medication along the side of the infant's tongue to decrease the risk for aspiration

A nurse in a pediatric clinic is assessing a toddler at a well child visit. Which of the following actions should the nurse take?

A. Perform the assessment in a head to toe sequence B. Minimize physical contact with the child initially C. Explain procedures using medical terminology D. Stop the assessment if the child becomes incorporated B. Minimize physical contact with the child initially Rationale: The nurse should initially minimize physical contact with the toddler and then progress from the least traumatic to the most traumatic procedures

A nurse is the emergency department is caring for a 2-year old child who was found by his parents crying and holding a container of toilet bowel cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse?

A. Remove the child's contaminated clothing B. Check the child's respiratory status C. Administer an antidote to the child D. Establish IV access for the child Answer: Check the child's respiratory status Rationale: The nurse should apply ABC priority setting framework when answering this item. This framework emphasizes the basic core of human functioning: having an open airway, being able to breath in adequate amounts of oxygen and circulating oxygen to the body's organs via the blood. An alteration in any of these can indicate a threat to life and is therefore the nurse's priority because the airway must be clear and open for oxygen exchange to occur. Breathing is the second highest priority setting framework because the delivery of oxygen to critical organs only occurs if the heart and blood vessels are capable of efficiently carrying oxygen to them. The nurse observes that the child's lips are edematous and inflamed and that he is drooling. These findings indicate that the child might have swelling of the oral cavity and pharynx which can result in a compromised airway

A nurse is teaching a group of parents and guardians about otitis media. Which of the following should the nurse identify as a risk factor for the illness?

A. Summer Months B. Breastfeeding C. Ages 7 to 10 years D. Passive Smoking Answer (D) Rationale: The nurse should identify passive smoking as a risk factor for otitis media. Exposure to secondhand smoke promotes the attachment of pathogens to the middle ear. extends the inflammatory response and impaired drainage through the Eustachian tube. Each of these effects increase the risk for development of otitis media.

A nurse is teaching a parent of a 12-month old infant about development during the toddler years. Which of the following statements should the nurse include?

A. Your child should be referring to himself using the appropatite by 18 months of age B. A toddlers interest in looking at pictures occurs at 20 months of age C. A toddler should have day time control of his bowel and bladder by 24 months ago D. Your child should be able to scribble spontaneously using a crayon at the age of 15 months D. Your child should be able to scribble spontaneously using a crayon at the age of 15 months Rationale: The nurse should teach the parent that at the age of 15 months the toddler should be able to scribble spontaneously and at the age of 18 months the toddler should be able to make stroke imitatively