Nursing care for a 7yearold girl admitted with tet

ATI LPN

ATI LPN Test Bank

Nursing care for a 7-year-old girl admitted with tetanus should be primarily directed towards

A. Careful monitoring of urinary output B. Decreasing external stimuli C. Encouraging high intake of fluid D. Giving adequate diet

Correct Answer: B

Rationale: Decreasing external stimuli B minimizes tetanus spasms triggered by noise/light, per document and CDC guidelines.

An 8-year-old with sickle cell crisis is discharged. Education should include select all

A. Taking prescribed drugs daily B. Sleeping 14 hours/day C. Balanced diet D. Plenty of fluids

Correct Answer: D

Rationale: Drugs A, diet C, fluids D I, III, IV manage sickle cell, per document 4.

In caring for a child with superficial burns, actions include all EXCEPT

A. Break blisters before dressing B. Clean the area C. Cover with sterile dressing D. Serve analgesics

Correct Answer: A

Rationale: Breaking blisters A increases infection risk, per document p13, 0.

A child in sickle cell crisis needs select all

A. Analgesics B. Exercise C. Plenty of fluids D. Warmth

Correct Answer: D

Rationale: Analgesics A, fluids C, warmth D I, III, IV manage crisis, per document p16, 6.

The primary goal in caring for an unconscious child is

A. Ensure patent airway B. Maintain nutrition C. Prevent aspiration D. Provide stimulation

Correct Answer: A

Rationale: Patent airway A is critical for survival, per document p20, .

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