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ATI RN Pediatric Nursing Proctored Exam 2023/2024 : NGN 70 Questions & Answers | Comprehensive Study Guide & Practice Test For Pediatric Nursing (PED)$40.49
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ATI RN Pediatric Nursing Proctored Exam 2023/2024: NGN 70
Questions & Answers | Comprehensive Study Guide & Practice
Test For Pediatric Nursing (PED)
Answer: A, C, E (Blood urea nitrogen (BUN), C-reactive protein (CRP), Erythrocyte
sedimentation rate (ESR)
Question: 8 of 70
Answer: (B) Varicella
The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.
,Answer: C, D, E (Administer sulfamethoxazole and trimethoprim, Educate the child about
proper perineal hygiene, Advise child's guardian about the use of sunscreen)
Sulfamethoxazole and trimethoprim is an antibiotic that is commonly used to treat UTIs
caused by bacteria such as E. coli. It is anticipated for this client because it can help clear
the infection and reduce the symptoms.
Proper perineal hygiene is important for preventing UTIs, especially in girls who have a
shorter urethra than boys. The nurse should educate the child about wiping from front to
back after using the toilet, avoiding bubble baths and scented products, and changing
underwear daily.
Sunscreen is advised for clients taking sulfamethoxazole and trimethoprim because this
medication can increase the sensitivity of the skin to sunlight and cause sunburns or
rashes.
Complete Question:
A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI).
Nurses' Notes
0700:
7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and
burning upon urination and feeling like they need to go to the bathroom all the time. Child's
guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a
very strong odor.
The nurse is planning care for the client.
,For each of the following interventions, click to specify if the potential intervention is anticipated
or contraindicated for the client.
Potential Order Anticipated Contraindicated
Administer salicylic acid for pain and fever. ○ ○
Ensure the child receives a maximum of 1,200 mL/day of fluid. ○ ○
Educate the child about proper perineal hygiene. ○ ○
Administer sulfamethoxazole and trimethoprim. ○ ○
Advise child's guardian about the use of sunscreen. ○ ○
Correct Answers with Rationales:
1.
Administer salicylic acid for pain and fever.
Correct Answer: Contraindicated
Rationale: Salicylic acid (aspirin) is not recommended for children due to the risk of
Reye's syndrome, a rare but serious condition that can cause swelling in the liver and
brain. Acetaminophen or ibuprofen are safer options for managing pain and fever in
children.
2.
3.
Ensure the child receives a maximum of 1,200 mL/day of fluid.
Correct Answer: Contraindicated
Rationale: Limiting fluid intake is not recommended for a child with a UTI. Increasing
fluid intake helps flush out the urinary tract and reduce bacterial growth, which is
important in treating UTIs. A higher fluid intake should be encouraged rather than
restricted.
4.
5.
Educate the child about proper perineal hygiene.
Correct Answer: Anticipated
Rationale: Proper perineal hygiene is critical in preventing UTIs, especially in young
children. Teaching the child to wipe from front to back after urination and bowel
movements helps prevent the spread of bacteria to the urinary tract, reducing the risk of
future infections.
6.
7.
, Administer sulfamethoxazole and trimethoprim.
Correct Answer: Anticipated
Rationale: Sulfamethoxazole and trimethoprim (Bactrim) are commonly prescribed
antibiotics for urinary tract infections. Administering this medication is expected and part
of the appropriate treatment plan to combat the bacterial infection.
8.
9.
Advise child's guardian about the use of sunscreen.
Correct Answer: Anticipated
Rationale: Antibiotics like sulfamethoxazole and trimethoprim can cause
photosensitivity, making the skin more sensitive to sunlight. Advising the use of
sunscreen is important to protect the child from sunburn or skin damage while on this
medication.
10.
Answer: C, D, E (Administer sulfamethoxazole and trimethoprim, Educate the child about
proper perineal hygiene, Advise child's guardian about the use of sunscreen)
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