ATI Pediatrics

Bumex (bumetanide)

B. Monitor for postural hypotension C. Observe for ototoxicity Bumex (bumetanide) is a loop diuretic that blocks the reabsorption of sodium and water in the tubules of the kidneys. It is usually prescribed for clients with CHF to reduce the amount of excessive fluid in the body. It is more potent than furosemide (Lasix) in its diuretic effect. The common side effects of Bumex include hypokalemia, postural hypotension, ototoxicity, nephrotoxicity, headache, and loss of appetite.

Ringworm Findings

B. Scaly erythematous rings with central clearing and pruritus

A nurse in a provider's office is teaching the parents of an adolescent client about the sleep habits of adolescents. Which of the following information should the nurse provide? Show Explanation

C. Adolescents have circadian rhythms that cause sleepiness at a later time of the night. Due to shifts in the circadian rhythms of adolescents, they generally fall asleep later and wake later in the morning. Adolescents require 9 to 10 hr of sleep each night and lack of sleep in adolescents can cause excess sleepiness that can increase the risks of accidents and lead to poor performance in school.

nurse is creating a plan of care for an infant who is preoperative before a myelomeningocele repair. Which of the following interventions should the nurse include? Show Explanation

C. Provide tactile stimulation by caressing the infant. The nurse should identify that preoperative infants who have a myelomeningocele cannot be held and cuddled like other infants. The nurse should meet the need for tactile stimulation by stroking and caressing the infant during each treatment, assessment, or encounter.

Clostridium difficile colitis infection control measures

C. Wear a gown to provide care E. Disinfect all surfaces with a diluted solution of bleach

-Chalasia

Chalasia is an incompetent cardiac sphincter. This allows gastric contents to flow back into the esophagus, which leads to regurgitation. Keeping the infant upright uses gravity to help keep stomach contents out of the esophagus and also limits pressure on the cardiac sphincter.

12 month Immunizations

D. Hemophilus influenza type b conjugate vaccine (Hib) E. Measles, mumps, rubella (MMR) F. Pneumococcal conjugate vaccine (PCV) G. Hepatitis A H. Varicella vaccine I. Inactivated poliovirus vaccine (IPV) J. Hepatitis B

A nurse in the emergency department is caring for a child who sustained a fracture. Which of the following actions should the nurse take? (Select all that apply.)

Elevate the affected limb. C. Assess neurovascular status frequently. E. Stabilize the injury.

healthcare-associated infections (HAIs)? (Select all that apply.) HAIs are more likely to occur with invasive procedures, such as surgery or injections Pneumonia is a leading type of healthcare-associated infection HAIs are more of a problem in hospitals, rather than outpatient or long-term care facilities Ninety-nine percent of HAIs are caused by bacterial infections HAIs are preventable and do not have to develop

HAIs are more likely to occur with invasive procedures, such as surgery or injections B. Pneumonia is a leading type of healthcare-associated infection E. HAIs are preventable and do not have to develop

nurse is teaching an adolescent who has diabetes mellitus about manifestations of hyperglycemia. Which of the following findings should the nurse include in the teaching? (Select all that apply.) Show Explanation Increased urination Hunger Dark yellow-colored urine Kussmaul respirations Sweating and pallor

Increased urination B. Hunger C. Dark yellow-colored urine

charge nurse on a pediatric unit is reviewing the laboratory results of four preschoolers. Which of the following values should the nurse report to the provider?

Iron 38 mcg/dL This iron level is below the expected reference range for children, which is 50 to 120 mcg/dL, and should be reported to the provider.

neonatal response to cold stress may be manifested as which of the following?

Metabolism of Brown adipose tissue. Hypoglycemia is a result of hypothermia.

H1N1 s/s

Shortness of breath D. Diarrhea E. Persistent cough

first period of reactivity of a newborn infant?

The first period of reactivity occurs just after birth. The infant is alert and exploring his surroundings and often has a rapid heart rate and respiratory rate.

nurse is admitting a child who has acetaminophen poisoning. Which of the following statements should the nurse plan to make to the parents? Show Explanation

Your child will experience nausea and vomiting." You Nausea, vomiting, and anorexia are the immediate manifestations of acetaminophen poisoning. These manifestations typically begin 2 to 4 hr after ingestion.

Which of the following is an example of symbolic play?

3-year-old pretends a rug is a magic carpet Symbolic play involves substituting one object to pretend it is another. This type of play starts to develop in children around the age of 18 months. An example is pretending that a rug in a room is a magic carpet.

nurse is caring for a school-age child who has juvenile idiopathic arthritis and is returning to school. Which of the following instructions should the nurse include regarding successful school attendance and performance? (Select all that apply.)

A. Make arrangements to have a set of books at school and a set at home. B. Involve the school nurse in medication management. E. Request an individualized education plan for patients that require extensive modifications for school.

Which of the following are principles of surgical asepsis and maintaining a sterile field? (Select all that apply.)

A. Only sterile objects can be placed on the sterile field B. If a sterile field becomes wet, it is considered contaminated C. Objects are considered sterile only if they remain above waist-level

Prevent sickle cell crisis

A. Stay away from sick children B. Increase fluids E. Be aware that high altitudes may lead to a crisis

A nurse is collecting data from a child who has neuroblastoma of the adrenal gland with primary metastasis. Which of the following findings should the nurse expect? (Select all that apply.)

B. Bone pain C. Periorbital ecchymoses D. Exophthalmos E. Fatigue

24 month old developmental health screenings

B. BMI C. Head circumference D. Autism screening E. Behavioral assessment

proper car seat use.

B. Car seats should never be placed in a front seat with an airbag D. Children should use a booster seat with a lap and shoulder belt until they are at least 4 feet 9 inches tall, or approximately 8 to 12 years old E. All children under age 13 should be restrained in the back seat of the car when possible, and not the front seat

nurse is caring for a child who has Legg-Calve-Perthes disease. Which of the following manifestations should the nurse expect?

B. Hip stiffness D. Limited range of motion E. Limp when walking Early manifestations of Legg-Calve-Perthes disease include an intermittent limp and stiffness or achiness on the affected side. As the disease progresses, the femoral head breaks down, causing limited range of motion to the affected side. If diagnosed and treated early, the outcome is improved. Delayed diagnosis can result in more significant damage to the bone and increases the risk for subluxation of the hip.

A nurse is caring for a school‑age child who has a new prescription for atomoxetine to treat attention deficit hyperactivity disorder (ADHD). The nurse should monitor the client for which of the following adverse effects? Show Explanation

B. Liver damage Liver damage is an adverse effect of atomoxetine. The nurse should monitor the client for manifestations such as jaundice, upper abdominal tenderness, darkening of the urine, and elevated liver enzymes.