ATI RN
Nursing Care of Pediatrics Respiratory Disorders Quizlet Questions
Question 1 of 5
The refractive disorder where light rays fall in front of the retina is referred to as
Correct Answer: B
Rationale: In this question, the correct answer is B) Myopia. Myopia is a refractive error where light rays focus in front of the retina instead of directly on it. This causes distant objects to appear blurry. The eyeball in myopia is longer than normal or the cornea has too much curvature. Amblyopia (A) is commonly known as lazy eye and refers to reduced vision in one eye. It is not a refractive disorder related to light rays falling in front of the retina. Cataract (C) is a clouding of the eye's lens, causing vision loss, but it is not a refractive disorder related to the position of light rays on the retina. Glaucoma (D) is a condition where increased pressure within the eye damages the optic nerve, leading to vision loss. It is not a refractive disorder related to the position of light rays on the retina. Educational Context: Understanding common pediatric respiratory disorders like myopia is crucial for nurses caring for pediatric patients. Recognizing these disorders helps in providing appropriate care, educating patients and families, and collaborating effectively with ophthalmologists. Nurses must be able to differentiate between various eye conditions to ensure early identification and management, promoting optimal health outcomes for pediatric patients.
Question 2 of 5
A nurse is caring for a 15-month-old child in a clinic. Which of the following actions should the nurse take? (See the chart for additional client information.)
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to take is to administer the DTaP vaccine to the 15-month-old child. The DTaP vaccine is typically recommended for children at this age to protect against diphtheria, tetanus, and pertussis. Administering this vaccine aligns with the standard immunization schedule for pediatric patients. Option B, administering the rotavirus vaccine, is not the most appropriate action in this case as the child's age indicates that they have likely already received the rotavirus vaccine earlier in infancy. Rotavirus vaccination is typically given in multiple doses during infancy. Option C, holding immunizations until the fever subsides, is not recommended as mild illnesses like low-grade fevers do not contraindicate routine vaccinations. It is important to educate parents that mild illnesses should not delay vaccinations unless the child is significantly unwell. Option D, administering the hepatitis A vaccine, is not the priority at this age unless specifically indicated based on the child's medical history or risk factors. Hepatitis A vaccination is not typically administered at 15 months as part of the routine immunization schedule. Educationally, this question emphasizes the importance of understanding the recommended immunization schedule for pediatric patients and the rationale behind each vaccine. It highlights the nurse's role in providing evidence-based care and promoting preventive health measures for children. By selecting the correct answer, the nurse demonstrates competency in pediatric vaccine administration and adherence to best practices in pediatric care.
Question 3 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 4 of 5
A nurse is caring for a child with cystic fibrosis. Which of the following findings is a priority for the nurse to address?
Correct Answer: D
Rationale: In caring for a child with cystic fibrosis, addressing the finding of increased cough with thick mucus is the priority for the nurse. This is because thick mucus in the airways is a hallmark of cystic fibrosis, leading to airway obstruction, decreased lung function, and increased risk of respiratory infections. By addressing this symptom, the nurse can help improve the child's respiratory status and overall quality of life. Difficulty in gaining weight is a common issue in cystic fibrosis due to malabsorption, but addressing respiratory symptoms takes precedence as it directly impacts the child's breathing and oxygenation. Loose, fatty stools are characteristic of cystic fibrosis due to pancreatic insufficiency, but they are not immediately life-threatening compared to respiratory complications. Educationally, understanding the priority of addressing respiratory symptoms in cystic fibrosis is crucial for nurses caring for pediatric patients with this condition. By grasping the significance of managing respiratory manifestations promptly, nurses can enhance patient outcomes and provide holistic care to children with cystic fibrosis.
Question 5 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.