1. A nurse is caring for an 8-year-old child who ha sickle cell anemia and is
recovering from a vaso-occlusive crisis. Which of the following precautions
should the nurse include in the discharge teaching?
a. drink eight glasses of fluid daily
b. avoid playground activities at school
c. mainta...
ATI Comprehensive Predictor Retake 2023 With Complete Solution Graded A 1. A nurse is caring for an 8-year-old child who ha sickle cell anemia and is recovering from a vaso -occlusive crisis. Which of the following precautions should the nurse include in the discharge teaching? a. drink eight glasses of fluid daily b. avoid playground activities at school c. maintain an updated haemophilus influenza type B immunization d. assume postural drainage positions every 6 hours - a. drink eight glasses of fluid daily (hydration decreases the viscosity of the b lood. a decreased viscosity helps lower the risk for sickling as a result of venous stasis. 2. A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take? a. withhold opioids to avoid dependence b. initiate a 2L/day fluid restriction c. encourage exercise d. assist with administering a blood transfusion - d. assist with administering a blood transfusion (an adolescent who is having a sickle cell crisis can receive a blood transfusion t o treat anemia and to decrease the viscosity of the blood) 3. A nurse is collecting data from an infant who has a large patent ductus arteriosis. Which of the following is clinical manifestations should the nurse expect? a. cyanosis with crying b. machine -like murmur c. weak pulses d. chronic hypoxemia - b. machine -like murmur (a patent ductus arteriosis is the failure of the opening connecting the aorta and pulmonary artery to close after birth causing a left -to-right shunt. a machine -like murmur is a clinical manifestation found.) 4. A nurse is collecting data from a child who has sickle disease and is experiencing a vaso -occlusive crisis. Which of the following findings should the nurse expect? a. vomiting b. bradycardia c. pain d. constipation - c. pain (a client who is experiencing a vaso -oclusive crisis typically has severe pain resulting from tissue hypoxia and necrosis.) 5. A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flood? a. coarcta tion of the aorta b. patent ductus arteriosus c. tetralogy of fallot d. tricuspid atresia - b. patent ductus arteriosus (the area between the pulmonary artery and aorta remains open, allowing blood to flow through the patent ductus arteriosus and back to t he pulmonary artery and lungs) 6. A nurse is reinforcing teaching with the parents of a child who is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching? a. the medication should be administere d in one large dose per day b. restricting fiber from our child's diet will help with iron absorption c. the medication will be more effective if it is administered with meals d. our child's blood count will need to be monitored routinely for several weeks - d. our child's blood count will need to be monitored routinely for several weeks (the child's response to treatment is determined by monitoring the hemoglobin and hematocrit levels through routine blood tests. Treatment can take up to 3 months to be effective) 7. A nurse is providing teaching about iron deficiency anemia to the parents of a 14 month old. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? a. avoid a diet consisting primarily of milk b. admini ster fat -soluble vitamins daily c. include whole grains and legumes in the diet d. limit intake of high -protein foods - a. avoid a diet consisting primarily of milk A nurse is reinforcing teaching with the parents of a school -age child who has cystic fibrosis. Which of the following statements should the nurse make? a. administer a bronchodilator to the child after chest percussion therapy b. a pigeon -shaped chest might become evident as the disease progresses c. bradycardia is an early indicator of a pnemothorax d. engage the child in daily aerobic exercise - d. engage the child in daily aerobic exercise (engaging the child in daily exercise stimulates mucous excretion, exhances self -esteem, and is recommended as a daily adjunct to chest percussion therapy) 8. A nurse is caring for a pre -school age child who has croup. Which of the following findings should the nurse report to the provider? a. barky cough b. paroxysmal attacks of laryngeal spasm at night c. hoarse ness d. drooling - d. drooling (the presence of drooling can indicate epiglottitis, which requires immediate medical attention)
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