Questions 49

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ATI Nur 270 Pediatrics GI Questions

Extract:

A child with pediatric enuresis.


Question 1 of 5

Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

Correct Answer: B,F

Rationale: Urinary tract infections and diabetes mellitus can cause enuresis and should be evaluated and treated before investigating psychological causes.

Extract:

A child with urticaria weighing 44 lbs (20 kg). The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose, supplied as 12.5 mg/5 ml.


Question 2 of 5

The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.

Correct Answer: 8 mL

Rationale: The child weighs 20 kg, so 20 kg * 5 mg/kg = 100 mg per dose. The medication is 12.5 mg/5 ml, so (100 mg * 5 ml) / 12.5 mg = 8 ml.

Extract:

An 8 year child with acute lymphoblastic leukemia receiving chemotherapy through a central venous access device.


Question 3 of 5

A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

Correct Answer: B

Rationale: Parents should notify their provider immediately if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.

Extract:

A 17-year-old female client who has severe acne.


Question 4 of 5

A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?

Correct Answer: D

Rationale: Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.

Extract:

A toddler with acute otitis media.


Question 5 of 5

The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?

Correct Answer: D

Rationale: Baby aspirin is contraindicated in children due to the risk of Reye’s syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.

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