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ATI Nursing care of children (Verified Answers, Latest 2021/2022)

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ATI Nursing care of children ATI Nursing care of children ATI Nursing care of children 1.A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the following actions should the nurse take? 2. A nurse is caring for a child who has an exacerbation of cystic fibrosis. ...

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  • January 26, 2022
  • 53
  • 2021/2022
  • Exam (elaborations)
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ATI Nursing care of children
1.A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of
the following actions should the nurse take?

Determine if there are any recent stressors in the child's environment

2. A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which
of the following laboratory findings should the nurse report to the provider
immediately?

Oxygen saturation 85%

3. A nurse is a pediatric clinic is caring for a 3-year-old child who has a blood lead
level of 3 mcg/dL. When teaching the toddler's parent about the correlation of
nutrition with lead poisoning, which of the following pieces of information is
appropriate for the nurse to include?

Ensure the child's dietary intake of calcium and iron is adequate

4. A nurse is caring for a child who has sickle cell anemia and is experiencing a
vaso-occlusive crisis. Which of the following actions should the nurse take?

Administer ibuprofen

5. A nurse at a pediatric clinic is assessing a 5-month-old infant during a well child
visit. Which of the following findings should the nurse report to the provider?

Head lagging when the infant is pulled from a lying to a sitting position

6. A nurse is providing teaching to the guardians of an infant who has failure to
thrive (FTT). Which of the following pieces of information should the nurse
include in the teaching?

,Add fortified rice cereal to the infants formula

7. A nurse is an emergency department is caring for a 4-year-old child who has
burns to the neck and face following a house fire. Which of the following actions
should the nurse take first?

Determine the child's breathing pattern

8. A nurse is teaching to a group of parents of adolescents about developmental
needs. Which of the following statements by a parent should the nurse investigate
further?

"My child spends 4 hours per day using online chat rooms."

9. A nurse is providing discharge teaching to parents whose infant had a
ventriculoperitoneal shunt placement for the treatment of hydrocephalus. Which of
the following statements by the parents indicates an understanding of the teaching?

"We will notify the doctor right away if he has a fever."

10. A nurse is performing a nutritional screening for a 12-year-old client who
weighs 41 kg (90 lb) and has a height of 1.5 m (60 in). Which of the following
values is the client's body mass index (BMI)

18.2 - to calculate the clients BMI, the nurse should divide the clients weight in
kilograms by the square of the clients height in meters. Therefore, 41 kg divided by
the square of 1.5 m gives a correct BMI of 18.2

11. A nurse is teaching the parents of an infant about treatment option for profound
sensorineural hearing loss. The nurse should include which of the following pieces
of information about the function of cochlear implants?

The provide direct stimulation of auditory nerve fiber

,12. A nurse is instructing a group of parents and guardians about child
development. Which of the following recommendations should the nurse make to
promote the developmental task of industry in the school-age child?

Assign the child several small chores

13. A nurse is providing teaching to the guardian of an adolescent. The guardian
reports that the adolescent sleeps about 10 hour on weekend nights. Which of the
following responses should the nurse provide?

"Adolescents need more sleep due to rapid growth."

14. A nurse is caring for a child who is in skeletal traction. Which of the following
actions is the nurse's priority?

Encourage the child to use an incentive spirometer

15. A nurse is assessing the gross motor skills of a 4-year-old preschooler. The
nurse should expect the preschooler to perform which of the following activities?

Hopping on 1 foot

16. A nurse is caring for a school-aged child who begins to have a tonic-clinic
seizure when leaving the bathroom. Which of the following actions should the
nurse take first?

Ease the child to the floor in Sims' position

17. A nurse is assessing a 4-year-old child. The nurse should expect the child to be
able to perform which of the following activities?

Fastening buttons on a shirt

, 18. A nurse is reviewing the laboratory report of a 2-year-old child who has
diarrhea and has been vomiting for 24 hr. Which of the following findings should
the nurse report to the provider?

Potassium 2.5 mEq/L

19. A nurse is evaluating the outcome of surgery for an infant who had a bile duct
obstruction which of the following findings should indicate to the nurse that the
surgery was successful?

The color of the infants stool is yellowish-brown

20. A nurse is teaching an adolescent client who has type 1 diabetes mellitus about
managing hypoglycemia. Which of the following statements should the nurse
include in the teaching?

"You should drink 4 ox of orange juice if you experience hypoglycemia

21. A nurse is assessing the fine motor skills development of a 4-year-old child.
The nurse should expect the child to be able to perform which of the following
activities?

Copying a square

A nurse is teaching the parents of a 4-month-old infant who has gastroesophageal
reflex. Which of the following statements by a parent indicates an understanding of
the teaching?

"I will add 1 teaspoon of rice cereal per ounce to my baby's formula"

A nurse is caring for a 15-month-old client who requires droplet precautions.
Which of the following actions should the nurse take?

Wear a mask when assisting the toddler with meals

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