ATI NURSING CARE OF
CHILDREN
PROCTORED EXAM (Questions
And Verified Answers).
A nurse is creating a plan of care for a newly admitted adolescent
who has bacterial meningitis. How long should the nurse plan to
maintain the Adolescent in droplet precautions?
A- Until the Adolescent is afebrile...
ATI NURSING CARE OF
CHILDREN
PROCTORED EXAM (Questions
And Verified Answers)
,A nurse is creating a plan of care for a newly admitted adolescent
who has bacterial meningitis. How long should the nurse plan to
maintain the Adolescent in droplet precautions?
A- Until the Adolescent is afebrile
B- for 7 days following an admission to the facility
C- until the Adolescent has a negative blood culture
D- for 24 hours following initiation of antimicrobial therapy
Answer- d
The nurse should plan to maintain the adolescent on droplet
precautions for at least 24 hr following initiation of antimicrobial
therapy. This practice will ensure that the adolescent is no longer
contagious, which protects family members and the personnel caring
for the client. Prophylactic antibiotics might be prescribed to
individuals who were in close contact with the adolescent.
A- A temperature within the expected reference range for an
adolescent can be achieved with acetaminophen. Therefore, this is
not a determinant factor for removing a client from droplet
precautions.
B- The adolescent is not contagious for 7 days. Therefore, it is
not necessary for the nurse to maintain droplet precautions for that
length of time.
C- Blood cultures should be drawn before the first dose of
antibiotics. It usually takes 48 to 72 hr for the organism to grow
enough for identification. The test should be repeated after the entire
, antibiotic regimen is completed to determine if the infection is still
present. Therefore, blood cultures are not a determinant factor for
removing a client from droplet precautions.
A school nurse is assessing an adolescent who presents with
multiple Burns in various stages of healing. Which of the following
behaviors should the nurse identify as suggestive of possible
physical abuse? A- Expresses a reluctance to leave home
B- provides a detailed description of how the burns occurred
C- denies discomfort during assessment of injuries
D- describes strong relationships with peers
Answer- c
The nurse should suspect child maltreatment in the form of physical
abuse if the adolescent has a blunted response to painful stimuli or
injury.
A- The nurse should suspect child maltreatment in the form of
physical abuse if the adolescent expresses a reluctance to return
home, or demonstrates a fear of parents. B- The nurse should suspect
child maltreatment in the form of physical abuse if the adolescent's
description of the injury is vague and incompatible with the actual
wounds. D- The nurse should suspect child maltreatment in the form
of physical abuse if the adolescent has withdrawn behavior and poor
relationships with peers.
A nurse is assessing an adolescent who received a sodium
polystyrene sulfonate enema. Which of the following findings
indicates effectiveness of the medication?
A- The Adolescents reports in absence of nausea and vomiting
B- the client experiences onset of loose stools within 15 minutes of
administration
C- The Adolescents serum potassium level is 4.1
D- the Adolescent has a blood pressure of 86/ 52
Answer- c
The nurse should monitor the adolescent's serum potassium level
following the administration of sodium polystyrene sulfonate. This
medication is used to treat hyperkalemia by exchanging sodium ions
for potassium ions in the intestine. Therefore, a potassium level
within the expected reference range indicates the effectiveness of the
medication.
A- Absence of nausea and vomiting indicates effectiveness of an
antiemetic medication. Sodium polystyrene sulfonate is an antidote
which exchanges sodium ions in the intestine. Therefore, absence of
nausea and vomiting is not an indicator of medication effectiveness.
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