Quiz 3 ATI Dynamic ?s
A nurse is teaching an adolescent client who has juvenile rheumatoid arthritis. What instruction should the nurse include in the teaching?
"Attend school regularly."
A nurse in a provider's office is collecting data from the caregiver of a school-aged child who requires intermittent catheterization. What following question should the nurse ask the caregiver when monitoring the child for a UTI?
"Have you noticed a change in the color of the child's urine during catheterization?"
A nurse is evaluating teaching that was provided for an adolescent who has a new prescription for a brace for scoliosis. What statement indicates an understanding of the teaching?
"I can only remove the brace for 1 hour each day."
A nurse is planning to care for a 4 year old child who has nephrotic syndrome. What action should the nurse include?
Provide thru skin care
A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated for nephrotic syndrome. The parent asks the nurse why it is necessary to check the child's urine for protein. What explanation should the nurse offer?
"A decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing discharge teaching with the guardian of a child who has JIA. What statements by the guardian indicates an understanding of the teaching?
"I will have my child sleep in knee, wrist, & hand splints."
What findings is consistent with iron deficiency anemia?
-Hgb -Skin Assessment
A nurse is assisting with scoliosis screenings for a group of school-age children. The nurse should place student in which position during the screening?
Bending forward with back parallel to the floor
A nurse is caring for a 7 year old child who is in skeletal traction following a complete fracture of the femur. What diversional activities should the nurse offer the child?
Chapter books
A nurse is caring for a child who has acute glomerulonephritis. What action should the nurse take?
Check bp Q4H
A nurse is caring for a child who has been in Buck's traction for 2 days. What action should the nurse take to prevent complications?
Check for pulses in the affected leg Q4H
A nurse is collecting physical data from a 4 year old child who has diarrhea & has been vomiting for 24 hours. What following sites should the nurse grasp to determine the child's skin turgor?
Child's abdomen
A nurse is caring for a toddler. What following lab findings should the nurse report to the HCP?
Creatinine 0.9 mg/dL (o.3-0.7 mg/dL)
A nurse is caring for a child who has electrical burns on her lower arms & hands. What finding indicates the child is experiencing a complication of the injury?
Dark urine
A nurse is coordinating care for an adolescent who requires peritoneal dialysis to treat an acute kidney injury. What actions should the nurse take?
Ask if the adolescent would like to record the amount of solution infused & drained
A nurse is reinforcing discharge teaching with the parent of a newborn who has been prescribed a Pavlik harness for developmental dysplasia of the hip. What response indicates an understanding of the teaching?
"I should lightly massage my baby underneath the straps once a day."
The nurse is reinforcing teaching about the adverse effects of chemotherapy with the toddler's parents. What statement by a parent indicates an understanding of the teaching?
"I should not pressure my child to eat while they have oral ulcers."
A nurse is reinforcing teaching with the parent of an infant who has developmental hip dysplasia & a new prescription for a Pavlik harness. What parent statement indicates understanding of the teaching?
"I will apply the harness over a t-shirt & knee socks."
A nurse is reinforcing teaching with the parent of an infant who has a talipes disorder & a new prescription for casts. What piece of info should the nurse reinforce?
"If casts don't correct your child's malformation, surgical correction might be necessary."
A nurse is reinforcing teaching with a school-aged child who just had a fiberglass cast application following a lower-extremity fracture. What instruction should the nurse reinforce with the child & his parents about care during the 1st 48 hours?
"Keep the cast above the level of your heart."
A nurse is providing teaching about home care to the parent of a child who has a newly applied fiberglass leg cast. What statement should the nurse include?
"Monitor the color of your child's toes Q4H for 24 hours."
A nurse is caring for a school-age female who is being treated for frequent, severe UTIs. The nurse should recognize that which of the following statements by the parent indicates a possible cause of the UTIs?
"My daughter has bowel movements every 4 to 5 days."
A nurse is reinforcing teaching with the parent of a school-aged child who has muscular dystrophy. What instructions should the nurse reinforce?
"Provide your child with a decreased calorie diet."
A nurse is reviewing the medical record of a 2 month old infant who has rotavirus. The nurse notes a Hgb level of 12 g/dL & a hematocrit of 51%. What statement by the nurse indicates an understanding of these lab values?
"The infant might be dehydrated."
A nurse is caring for a 3 year old female child who his prescribed an indwelling urinary catheter. What action should the nurse take when performing this procedure?
Apply 2% lidocaine lubricant into the urethral meatus.
A nurse is on a peds unit caring for a group of clients. What finding should be the nurse's priority?
A child who has sickle cell anemia & a USG of 1.030
A nurse is reinforcing discharge teaching with the guardian of an infant following a hypospadias repair. What instruction should the nurse include?
Apply antibacterial ointment to the infant's penis once per day
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is recovering from acute glomerulonephritis. What food choice by the parents indicates an understanding of the teaching?
Apples
A nurse is collecting data from an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain & a tingling feeling in the limb. What actions should the nurse take first?
Assess for manifestations of circulatory impairment
A nurse is assisting with the admission of a child who has a UTI & a history of myelomeningocele. After the child's admission history is complete, what action should the nurse recommend?
Attach a latex allergy alert identification band
A nurse is caring for a school-age child has skeletal traction applied to the right lower leg to repair a femur fracture. What finding is the priority for the nurse to report to the provider?
Report of tingling in the right foot
A nurse is caring for an infant who is 6 months old & has a moderate dehydration. What finding should the nurse expect?
Dry mucous membranes
A nurse is planning care for a school-age child who has JIA. What action should the nurse include in the plan?
Encourage the child to participate in physical activities
A nurse is caring for a child who has a fractured tibia & is in buck's traction. What actions should the nurse take?
Ensure the weights are hanging freely
A nurse is caring for a school-aged child who has acute poststreptococcal glomerulonephritis. What manifestation should the nurse expect?
Hematuria
A nurse is contributing to the POC for a school-age child who has acute poststreptococcal glomerulonephritis (APSGN) & is mildly hypertensive. What actions should the nurse include in the POC?
Restrict the child's sodium intake.
A nurse is reinforcing teaching with an adolescent client who has scoliosis. When discussing how to wear the back brace, the client appears to be holding back tears. What response should the nurse make?
"This is a lot of new info to absorb about back braces; can you tell me your thoughts on what we have discussed?"
What findings is consistent with Nephroblastoma/Wilms tumor?
-Hematuria -Hgb -Urine RBC casts -BP -Skin Assessment
What findings is consistent with acute glomerulonephritis?
-Hematuria -Urine RBC casts -BP -Skin Assessment
A nurse is assisting with the care of a newly admitted 2 year old toddler. Ab pain is 6 on FLACC scale. Ab is round & distended. Radial & pedal pulse +3 bilaterally. Respiratory rate is 28/min. Urinalysis is red color and RBC casts is 4.
-Hgb -Ab findings -BP -Urine RBC casts
A nurse is assisting with the care of the toddler 3 weeks following left nephrectomy due to Wilms tumor. Reports ab pain as 6 on FLACC Scale. Is alert & irritable. Radial & pedal pulse +3 bilaterally. Cap refill is less than 2 seconds. Extremities are hot & moist with pallor noted. Turgor without tenting. What actions should the outpatient nurse take?
-Offer oral nutritional supplements -Report platelet count to provider -Encourage drinking fluids thru straw
A nurse is caring for an adolescent who has end-stage renal disease & is scheduled for peritoneal dialysis. What actions should the nurse take?
Obtain the adolescent's weight prior to the procedure
A nurse is assisting in the care of a male child who has acute post-streptococcal glomerulonephritis (APSGN). What manifestation should the nurse monitor?
Oliguria
A nurse is assisting with the care of a school aged child who has acute glomerulonephritis. What manifestation should the nurse expect?
Periorbital edema
A nurse is contributing to the POC for a preschool-aged child who has Wilms tumor. What items should the nurse include prior to surgery/
Place a sign above the bed that says "Do not palpate abdomen"
A nurse is assisting with the care of a school-aged child who has skeletal traction applied to repair a pelvic fracture. What action should the nurse take?
Place the child on a pressure-reduction mattress
A nurse is reviewing the lab report of a preschooler who has a Wilms' tumor & is scheduled to begin treatment with an antineoplastic medication regimen. What lab results should the nurse report to the provider?
Platelet count 70,000/mm^3
A nurse reinforcing discharge teaching with the parents of a school aged child who has nephrotic syndrome & a prescription for corticosteroid therapy. What home-care instructions should the nurse include?
Keep the child away from people who have an infection
A nurse is caring for an infant who has gastroenteritis & is dehydrated. What characteristic places the infant at a higher risk for electrolyte imbalances compared to an adult client?
Longer intestinal tract
A nurse is contributing to the POC for a child who is in Buck's traction. What intervention should the nurse include in the plan?
Maintain the leg in an extended position
A nurse is caring for an infant who is experiencing dehydration. What data related to hydration status is the nurse's priority to collect?
Measure the client's weight daily
A nurse is reviewing lab findings of an adolescent who has acute renal failure. What finding should the nurse expect?
Metabolic acidosis
A nurse is collecting data from an infant who is receiving IV therapy for fluid replacement. What finding indicates the infant's status is improving?
Sodium level 145 mEq/L
A nurse is caring for a 2 year old child who has frequent UTIs. When reinforcing teaching with the parents about prevention, what instruction should the nurse include?
Teach the child to wipe from front to back
A nurse is caring for a school aged child who had an arm cast applied 8 hours ago. What finding should alert the nurse to a complication related to the casting?
The child reports tightness at the wrist
A nurse is caring for a group of children in an acute care setting. The nurse should identify that which child is at risk for impaired elimination?
The child who has hyperglycemia.
A nurse is assisting with the care of a newly admitted 2 year old toddler. Temp: 102 F Reports ab pain as 6 on FLACC Scale. Is alert & irritable. Radial & pedal pulse +3 bilaterally. Cap refill is less than 2 seconds. Extremities are hot & moist with pallor noted. Turgor without tenting. What should the nurse address first?
The nurse should 1st address the child's temperature followed by the child's ab pain.
A nurse is assisting with the care of a newly admitted 2 year old toddler. Temp: 102 F Reports ab pain as 6 on FLACC Scale. Is alert & irritable. Radial & pedal pulse +3 bilaterally. Cap refill is less than 2 seconds. Extremities are hot & moist with pallor noted. Turgor without tenting. What should the nurse anticipate?
The nurse should anticipate a provider's prescription for establishing IV access due to the need to administer fluids & meds.
A nurse is reviewing the lab reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. What finding should the nurse report to the provider?
WBC count 3,000/mm^3
A nurse is reinforcing discharge teaching with the guardians of a 6 month old infant following a surgical procedure to repair a hypospadias. What instructions should the nurse include?
Wait 1 week before giving the infant a tub bath
A nurse is contributing to the POC for a toddler who has acute renal failure. What intervention should the nurse include in the plan?
Weigh the child each day at the same time
A nurse is collecting data from an infant who has severe dehydration. What finding should the nurse expect?
Weight loss of 10%
A nurse is caring for a child who has glomerulonephritis. What action should the nurse take?
Weight the child once each day
A nurse is reviewing lab values for a 6 month old infant who has acute renal failure. What finding should the nurse expect?
Sodium 125 mEq/L
