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Ati Pediatric Proctored Latest Test Bank 2022/2023/Uworld PEDDIATRY A A A TEST BANK LATEST 2022/2023

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Ati Pediatric Proctored Latest Test Bank 2022/2023

Ati Pediatric Proctored Latest Test Bank 2022/2023/Uworld PEDDIATRY A A A TEST BANK LATEST 2022/2023 Ati Pediatric Proctored Latest Test Bank 2022/2023/Uworld PEDDIATRY A A A TEST BANK LATEST 2022/2023 Ati Pediatric Proctored Latest Test Bank 2022/2023/Uworld PEDDIATRY A A A TEST BANK LA...

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Uploaded on January 30, 2024
Number of pages 230
Written in 2023/2024
Type Exam (elaborations)
Contains Questions & answers

ati pediatric proctored
ati pediatric
ati pediatric proctored latest test bank
ati pediatric proctored latest test bank
ati pediatric proctored latest test bank
ati pediatric proctored latest

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Ati Pediatric Proctored Latest Test Bank
2022/2023/Uworld PEDDIATRY A A A TEST
BANK LATEST 2022/2023

WRITTEN BY BRIAN KARIUKI.

Ati Pediatric Proctored Latest Test Bank
2022/2023/Uworld PEDDIATRY A A A TEST
BANK LATEST 2022/2023

,PEDDIATRY

The nurse planning teaching for the parents of a child newly diagnosed with
hemophilia will include information about which long-term complication?

1. Heart valve injury [33%]

2. Intellectual disability [3%]

3. Joint destruction [54%]

4. Recurrent pneumonia [8%]

Explanation: Hemophilia is a bleeding disorder caused by a deficiency in coagulation
proteins. Clients with classic hemophilia, or hemophilia A, lack factor VIII. Clients with
hemophilia B (Christmas disease) lack factor IX. When injured, clients with hemophilia
should be monitored closely for external as well as internal bleeding. The most frequent
sites of bleeding are the joints (80%), especially the knee. Hemarthrosis can occur with
minimal or no trauma, with episodes beginning during toddlerhood when the child is
active and ambulatory. Over time, chronic swelling and deformity can occur.

(Option 1) Heart valve injury is common with rheumatic heart disease not hemophilia.

(Option 2) Intellectual disability in children is commonly seen with fetal alcohol syndrome,
Down syndrome, hypothyroidism, and lead poisoning. In rare cases, hemophilia can cause
life-threatening intracranial bleeding. However, isolated intellectual disability is not seen.

(Option 4) Recurrent pneumonia is commonly seen with cystic fibrosis not hemophilia.

Educational objective:

Clients with hemophilia are at risk for permanent joint destruction due to frequent bleeds
into the joint spaces. Assisting clients with decreasing the incidence of bleeding episodes
and prompt treatment when bleeding occurs can help minimize joint destruction.

AAA

The clinic nurse supervises a graduate nurse who is teaching the parents of a 2-year-old
with acute diarrhea about home management. The nurse would need to intervene when
the graduate nurse provides which instruction?

1. "Do not administer antidiarrheal medications to your child." [26%]

2. "Follow the bananas, rice, applesauce, and toast diet for the next few days." [32%]

,
, 3. "Record the number of wet diapers and return to the clinic if you notice a
decrease."
[28%]

4. "Use a skin barrier cream such as zinc oxide in the diaper area until
diarrhea subsides." [12%]

Explanation: During bouts of acute diarrhea and dehydration, treatment focuses on
maintaining adequate fluid and electrolyte balance. The first-line treatment is oral
rehydration therapy, using oral rehydration solutions (ORSs) to increase reabsorption
of water and sodium. Even if the diarrhea is accompanied by vomiting, ORS should still
be offered in small amounts at frequent intervals. Continuing the child's normal diet
(solid foods) is encouraged as it shortens the duration and severity of the diarrhea. The
BRAT (bananas, rice, applesauce, and toast) diet is not recommended as it does not
provide sufficient protein or energy.

(Option 1) Use of antidiarrheal medications is discouraged as these have little effect in
controlling diarrhea and may actually be harmful by prolonging some bacterial infections
and causing fatal paralytic ileus in children.

(Option 3) Parents should be taught to monitor their child for signs of dehydration by
checking the amount of fluid intake, number of wet diapers, presence of sunken eyes, and
the condition of the mucous membranes.

(Option 4) Protecting the perineal skin from breakdown during bouts of diarrhea can be
accomplished by using skin barrier creams (eg, petrolatum or zinc oxide).

Educational objective:

When a child is experiencing acute diarrhea, the priority is to monitor for dehydration.
Treatment is accomplished with oral rehydration solutions and early reintroduction of the
child's normal diet (usual foods).

AAA

The mother of a 6-year-old child with cystic fibrosis (CF) has received instruction on the
use of pancreatic enzymes. Which statement made by the mother indicates a need for
further teaching?

1. "I need to monitor the total amount of this medication that I give to my child every
day." [6%]

2. "I should give this medication with or just before my child has a meal or snack."
[10%]

\
3. "It is okay for my child to chew this medication." [61%]

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Exam (elaborations)

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