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RN nursing care of children ATI PROCTORED EXAM FOR 2024 UPDATE GUARANTEED PASS==
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RN nursing care of children ATI PROCTORED EXAM FOR 2024 UPDATE GUARANTEED PASS==
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RN nursing care of children ATI PROCTORED EXAM FOR 2024 UPDATE GUARANTEED PASS==A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The nurse should
identify that which of the following findings is an
indication of early septic shock? - ANSWER-Temperature 39.1° C (102.4° F)
A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of
the following findings should the nurse - ANSWER-Absence of peristalsis
A nurse is caring for a school-age child who is receiving chemotherapy and is severely
immunocompromised. Which of the following actions should
the nurse take? - ANSWER-Screen the child's visitors for indications of infection
A nurse in an emergency department is caring for a school-age child who has appendicitis and rates
their abdominal pain as 7 on a scale of 0 to 10.
Which of the following actions should the nurse take? - ANSWER-Give morphine 0.05mg/kg IV
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following
actions should the nurse plan to take? - ANSWER-Administer the immunization using a 24-gauge
needle.
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected of having
bacterial meningitis. Which of the following
findings should the nurse identify as an indication of bacterial meningitis? - ANSWER-Increased
protein concentration
A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound
debridement following a burn injury. Which of the
following actions should the nurse take prior to the procedure? - ANSWER-Administer an analgesic to
the child.
A nurse is interviewing the parent of an 18-month-old toddler during a well-child visit. The nurse
should identify that which of the following
findings indicates a need to assess the toddler for hearing loss? - ANSWER-The toddler received
tobramycin during a hospitalization 2 weeks ago.
,A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school-age child who
weighs 75 lb. Available is atomoxetine 40
mg/capsule. How many capsules should the nurse administer per day? (Round the answer to the
nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.) - ANSWER-1
A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which
of the following laboratory values should
the nurse report to the provider? - ANSWER-Hgb 8.5 g/dL
A nurse is caring for a 15-year-old client who is married and is scheduled for a surgical procedure. The
client asks, "Who should sign my surgical
consent?" Which of the following responses should the nurse make? - ANSWER-"You can sign the
consent form because you are married."
Meningitis - ANSWER-an inflammation of the CSF and meninges (which are connective tissues that
cover brain and spinal cord).
Reye Syndrome - ANSWER-life-threatening disorder that involved acute encephalopathy and fatty
changes of the liver.
Viral (aseptic) meningitis - ANSWER-usually requires only supportive care for recovery
Bacterial (septic) meningitis - ANSWER-contagious infection; prognosis depends on how quickly care is
initiated.
bacterial meningitis risk factors - ANSWER--infections caused by bacterial agents (meningococcoal),
streptococcus pneumoniae, Hib B, e.coli.
-injuries that provide direct access to CSF
-crowded living conditions
viral meningitis risk factors - ANSWER-viral illnesses such as:
,- mumps
-herpes simplex virus
-arbovirus
-adenovirus
-cytomegalovirus
Expected findings of meningitis - ANSWER-Photophobia
Nausea
Irritability
Headache
newborn findings of meningitis - ANSWER--no illness present at birth
-poor muscle tone,weak cry, poor suck, refuses feeding, and V/D.
-bulging fontanels are late sign.
3 mth to 2 years findings of meningitis - ANSWER-seizures with high-pitched cry
fever and irritability
bulging fontanels
possible nuchal rigidity
poor feeding
2 years through adolescence physical assessment of meningitis - ANSWER-seizures (initial sign)
Positive Brudzinski's sign
Positive Kernig's sign
Nuchal rigidity
fever/chills
headache
vomiting
chronic draining ear (with pneumococcal infection)
, Petechiae or purpuric-type rash (with meningococcal infection)
Brudzinski's sign - ANSWER-pain with resistance and involuntary flex of hip/knee when neck is flexed
to chest when lying supine
Kernig's sign - ANSWER-a diagnostic sign for meningitis marked by the person's inability to extend the
leg completely when the thigh is flexed upon the abdomen and the person is sitting or lying down
Lab tests for viral meningitis (CSF analysis) - ANSWER-clear color
increase WBC
normal or elevated protein content
normal glucose content
negative gram stain
Lab tests for bacterial meningitis (CSF analysis) - ANSWER-cloudy color
increase WBC
increase protein content
decrease glucose content
positive gram stain
Nursing actions for lumbar puncture - ANSWER-empty bladder
side-lying position
monitor for bleeding,hematoma, infection
medications to treat meningitis - ANSWER-Antibiotic
corticosteroid: dexamethasone
Analgesic (acetaminophen with codeine)
dexamethasone - ANSWER-not indicated for viral meningitis
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