RN Peds Online Practice B ATI

75 lb atomoxetine 40 mg/capsule

1 capsule

pain as 7 on a scale of 0 to 10

Give morphine 0.05 mg/kg IV.

RSV

Have a designated stethoscope in the infant's room.

7-year-old child

Hgb 8.5 g/dL

Acute Diarrhea

Oral rehydration solution

peripheral edema

Palpate the dorsum of the child's feet.

Collect a sample from a toddler for a sickle-turbidity

Perform a finger stick.

Meningitis

Petechiae on the lower extremities

Tonic-clonic seizure

Place the child in a side-lying position.

IV fluids for the treatment of TOF

Place the infant in a knee-chest position.

QRS complexes and peaked T waves

Potassium chloride

5mg.kg every 6 hr PRN

2mL/dose

Scoliosis

A unilateral rib hump

ADHD

"I will teach challenging academic subjects to students who have ADHD in the morning."

36 days after

-"I should apply a moisturizer to the scar tissue" is correct. -"I will use a measured spoon or medicine cup to give my child hydroxyzine" is correct. -"I can give my child hydroxyzine every 6 hours as needed" is correct. -"Puppet play can be helpful for my child" is correct. -"I need to assess for any redness or open skin areas before applying my child's left arm splint" is correct. -"My child will need to use a compression garment to decrease blood supply to the scarred tissue" is correct.

Continuing to care for the child

-Change the morphine route to family-controlled analgesia via a PCA pump is anticipated. -Obtain a wound culture is anticipated. T -Place the child on a pressure-reduction mattress is anticipated. -Limit daily protein intake is contraindicated.

4-year-old child who was rescued

-Partial- and full-thickness burns to the left upper anterior chest and anterior neck is correct. -SaO2 89% on room air is correct. -Heart rate 150/min is correct.

pneumonia

Nasal flaring

type 1 diabetes mellitus

"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."

educational program to teach caregivers about protecting

"Choose a waterproof sunscreen with a minimum SPF of 15."

SUID

"Give the infant a pacifier at bedtime."

6-month-old

"I should secure the car seat using lower anchors and tethers instead of the seat belt."

6-month-old infant about teething

"Your baby might pull at their ears when they are teething."

school-age child

-Arterial blood gases is correct. -WBC count is correct. -Oxygen saturation level is correct. -Respiratory assessment is correct.

child 14 days after admission

-Provide 100% oxygen via face mask is correct. -Check anterior neck and chest dressing for bleeding is correct. -Place a warm blanket on the child is correct. -Keep the child's head in a neutral position is correct.

Peritonitis

Abdominal distention

4-year old child

Administer the immunization using a 24-gauge needle.

following a Tonic-clonic seizure

Check the child's respiratory rate.

caring for a toddler who has partial-thickness burns

Cleanse the affected area with mild soap and water.

Diabetes Mellitus and was admitted with a diagnosis of diabetic ketoacidosis

Deep respirations of 32/min

pulse oximetry

Great toe

ventricular septal defect

Loud, harsh murmur

Caring for a toddler

Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the toddler is most likely experiencing cystic fibrosis and that is it important to generate solutions and take actions by planning to educate the guardian about sweat chloride testing for the toddler and prepare the toddler for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing, tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion, inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate the toddler's response to these interventions, the nurse should monitor the toddler's oxygen saturation level and stools. These are parameters that indicate if the toddler is further experiencing respiratory distress, inadequate intake, and dehydration, which can lead to further complications, including pneumothorax, respiratory failure, and failure to thrive.

Central venous access device

Use a semipermeable transparent dressing to cover the site.

Celiac Disease

White rice

terminal illness

"Let's talk about some of the ways you have handled previous stressors in your life."

persistent asthma

"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."

office is caring for a preschooler

"We should apply a skin emollient immediately after bathing our child" is correct. An emollient is an oil that moisturizes the skin and should be applied immediately after bathing, while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates the teaching has been effective. "We should keep our child's fingernails trimmed short" is correct. The child's fingernails and toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges. Therefore this statement by the guardian indicates the teaching has been effective. "We should rub the sores vigorously to remove scabs" is incorrect. The sores or lesions should be patted dry after bathing, rather than scrubbed vigorously. The scabs should not be removed because this could cause infection. Therefore this statement by the guardian indicates the need for further teaching. "We should allow our child to take a bubble bath prior to bed" is incorrect. The use of bubble baths and powders should be avoided because they can cause skin irritation. Therefore this statement by the guardian indicates the need for further teaching. "We should use a mild detergent for our laundry" is correct. The use of mild detergents for laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates the teaching has been effective. "We should apply a large amount of the ointment to the sores" is incorrect. Tacrolimus is a topical steroid that should only be applied in a thin layer. Therefore this statement by the guardian indicates the need for further teaching.

varicella contagious

"When your child's lesions are crusted, usually 6 days after they appear."

4-year-old child who was rescued

-Apply sterile gauze soaked with cool 0.9% sodium chloride to the burn areas is contraindicated. -Insert an indwelling urinary catheter is anticipated. -Provide 100% oxygen via face mask is anticipated. -Weigh the child is anticipated.

Pediatric unit is admitting a preschooler

-Splenomegaly is correct. -Positive mononucleosis rapid test is correct.

4 days after admission

-Temperature is correct. -Pain is correct.

Change-of-shift report for four children

A toddler who has a concussion and is experiencing an episode of forceful vomiting

School-age child who has an infratentorial brain tumor.

Difficulty concentrating

Multiple Burns

Denies discomfort during assessment of injuries

Newly admitted adolescent

For 24 hr following initiation of antimicrobial therapy

Acute Otitis Media

Dress the toddler in minimal clothing.

Cefazolin via IM IV bolus

Epinephrine

Blood transfusion

Flank pain

Cystic Fibrosis

Increase fat content in the child's diet to 40% of total calories.

bacterial meningitis

Increased protein concentration

AKI

Initiate seizure precautions for the child.

Neutropenia

Provide the child with a book about adventure.

3-year old toddler

Respiratory rate 45/min

leg cast applied 24 hr ago

Restricted ability to move the toes

treatment for severe dehydration

Sodium 140 mEq/L

Cleft palate repair

Speech therapist

2-week-old male newborn

Substernal retractions

preschool age child nightmares sleep terrors and insomnia

When analyzing cues, the nurse should recognize that manifestations of nightmares include awakening during the night after a scary dream. Nightmares are sleep disturbances that cause distress after the dream is over. The child might be crying, fearful of returning to sleep, and believe the dream is real. Sleep disturbances cause interruptions in the sleep-wake cycle and can cause impaired concentration, daytime fatigue, and impulsive behaviors. When analyzing cues, the nurse should recognize that manifestations of sleep terrors include partial awakening during a deep sleep. Sleep terrors are sleep disturbances that cause a child to exhibit behaviors such as thrashing, screaming, moaning, and diaphoresis that disappear once the child awakens. The child does not remember the episode and is not comforted by others during the disturbance. The child usually falls asleep easily afterwards. Sleep terrors cause interruptions in the sleep-wake cycle and can cause impaired concentration, daytime fatigue, and impulsive behaviors. When analyzing cues, the nurse should recognize that manifestations of insomnia include difficulty falling or staying asleep and feeling tired when waking up. Insomnia is a sleep disorder that causes an inability to sleep, causing an imbalance in the sleep-wake cycle, leading to impaired concentration and daytime fatigue. Insomnia occurs in older children.

caring for a toddler

When recognizing cues, the nurse should identify that the assessment findings of lethargy, disinterest in eating, hypoactive bowel sounds, distended abdomen, palpable fecal mass, ribbon-like, foul-smelling stools and elevated blood pressure require follow-up. These findings indicate the toddler's constipation has worsened and the toddler needs further evaluation for suspected Hirschsprung's disease.