ATI RN
Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions
Question 1 of 5
The nurse is providing teaching to the parents of a child with a history of febrile seizures. The nurse should include which statement?
Correct Answer: B
Rationale: The correct answer is B) Febrile seizures may occur with a fever of 100.5°F (38°C) or higher. This statement is accurate because febrile seizures are commonly associated with rapid temperature elevation in children, typically occurring with fevers above 100.4°F. It is important for parents to understand this threshold to be vigilant and prepared in case their child experiences a febrile seizure. Option A is incorrect because febrile seizures are not always indicative of a serious underlying condition. They are often benign and do not necessarily imply a severe medical issue. Option C is incorrect as febrile seizures, though frightening to witness, usually do not cause permanent neurological damage. Option D is also incorrect as it is not recommended to restrain a child during a febrile seizure; instead, the child should be placed on a safe surface and monitored to prevent injury. In an educational context, teaching parents about febrile seizures is crucial as it empowers them to respond appropriately if their child experiences one. Understanding the triggers, signs, and management of febrile seizures can help alleviate parental anxiety and ensure the safety and well-being of the child during such an episode.
Question 2 of 5
A nurse is caring for a child with cystic fibrosis. The nurse should encourage the child's parents to do which of the following?
Correct Answer: A
Rationale: Rationale: The correct answer is A) Increase the child's calorie intake. In cystic fibrosis, a child has increased energy needs due to the malabsorption of nutrients and increased work of breathing. Therefore, it is crucial to encourage parents to increase the child's calorie intake to meet their energy demands and promote growth and development. Adequate nutrition also supports the immune system, helps maintain a healthy weight, and improves overall health outcomes in children with cystic fibrosis. Option B) Administer oxygen therapy regularly is incorrect because oxygen therapy is not a routine treatment for cystic fibrosis. Oxygen therapy is typically used in respiratory conditions where there is a deficiency in oxygen saturation, which is not a primary feature of cystic fibrosis. Option C) Limit physical activity is incorrect because regular physical activity is important for overall health and well-being, including in children with cystic fibrosis. Exercise can help improve lung function, cardiovascular health, and overall quality of life in these children. Option D) Provide small, frequent meals is incorrect because while it is beneficial to provide easy-to-digest, small, and frequent meals for some children with cystic fibrosis who may have pancreatic insufficiency, the primary focus should be on increasing the overall calorie intake to meet the child's energy needs. Educational Context: Understanding the specific care needs of children with cystic fibrosis is essential for nurses caring for pediatric patients with this condition. By emphasizing the importance of increasing the child's calorie intake, nurses can help parents optimize their child's nutritional status and overall health outcomes. Providing comprehensive education to parents can empower them to actively participate in the management of their child's cystic fibrosis and promote better health outcomes for the child.
Question 3 of 5
A nurse is caring for a child with a seizure disorder. The nurse should include which of the following interventions in the care plan?
Correct Answer: C
Rationale: In caring for a child with a seizure disorder, option C, which is placing a soft object under the child's head, is the correct intervention. This is important because it helps to prevent injury to the child during the seizure episode by providing cushioning and support for the head. Placing a soft object under the head can also help maintain proper alignment of the airway, which is crucial for adequate oxygenation during the seizure. Options A, B, and D are incorrect interventions for a child having a seizure. Inserting an oral airway during a seizure (option A) can potentially cause injury to the child's mouth or teeth due to involuntary jaw clenching. Turning the child onto their back (option B) can lead to airway obstruction or aspiration if the child vomits. Restraining the child (option D) during a seizure may increase the risk of injury and is not recommended as it can also lead to increased agitation and potential harm. In an educational context, understanding the appropriate interventions during a seizure in a child with a seizure disorder is crucial for nurses caring for pediatric patients. Proper training and knowledge in managing seizures can help prevent complications and ensure the safety and well-being of the child during such episodes. It is essential for healthcare providers to stay updated on best practices and guidelines for managing pediatric patients with seizure disorders to deliver safe and effective care.
Question 4 of 5
A nurse is caring for a child with a history of developmental delay. The nurse should assess for which of the following as a potential cause?
Correct Answer: D
Rationale: In caring for a child with a history of developmental delay, it is crucial for nurses to consider a holistic approach to their assessment. The correct answer, option D (All of the above), is the most appropriate choice in this scenario. Developmental delays can stem from a variety of causes, including neurological disorders, genetic factors, and environmental influences. By selecting option D, the nurse acknowledges the multifactorial nature of developmental delays and demonstrates an understanding of the need to assess the child comprehensively. Option A (Neurological disorder) is a common cause of developmental delays in children. Conditions such as cerebral palsy, epilepsy, or brain malformations can impact a child's development. While neurological disorders are significant contributors, they do not represent the sole cause of developmental delays. Therefore, choosing only option A would overlook other potential factors. Option B (Genetic disorder) highlights the role of genetic influences in a child's development. Genetic conditions like Down syndrome, Fragile X syndrome, or other chromosomal abnormalities can lead to developmental delays. While genetic factors play a crucial role, focusing solely on genetics may limit the nurse's assessment scope and overlook other crucial aspects contributing to the child's condition. Option C (Environmental factors) emphasizes the impact of the child's surroundings on their development. Environmental factors such as exposure to toxins, poor nutrition, lack of stimulation, or socioeconomic challenges can all influence a child's developmental trajectory. While environmental factors are significant, they do not act in isolation and often interact with genetic and neurological factors to shape a child's development. In an educational context, understanding the diverse causes of developmental delays is vital for nurses working in pediatric care. By recognizing the complex interplay of neurological, genetic, and environmental factors, nurses can provide comprehensive care tailored to each child's unique needs. This question reinforces the importance of a thorough assessment process and highlights the need for a holistic approach when caring for children with developmental delays.
Question 5 of 5
A nurse is assessing a child who has been diagnosed with chickenpox. The nurse should expect which of the following clinical findings?
Correct Answer: B
Rationale: The correct answer is B) Blisters that are clear, then rupture and scab over. This is characteristic of chickenpox, caused by the varicella-zoster virus. The progression of clear blisters to rupture and scabbing is a hallmark sign of the disease. Option A) High fever and a raised rash is not specific to chickenpox and can be seen in various other illnesses as well. Option C) Localized rash with no systemic symptoms is not typical of chickenpox, as it usually presents with a widespread rash and systemic symptoms. Option D) Flat, red spots that do not change over time do not describe the evolving nature of chickenpox blisters. Educationally, understanding the clinical manifestations of childhood diseases like chickenpox is crucial for pediatric nurses to provide accurate assessments, diagnoses, and interventions. Recognizing the distinct features of each condition helps in timely and appropriate management, which can significantly impact patient outcomes.