ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
Which is an implanted ear prosthesis for children with sensorineural hearing loss?
Correct Answer: B
Rationale: The correct answer is B) Cochlear implant. A cochlear implant is an implanted prosthesis specifically designed for individuals with sensorineural hearing loss, including children. It bypasses damaged parts of the inner ear and directly stimulates the auditory nerve, providing a sense of sound to individuals who are deaf or have severe hearing loss. Option A, a hearing aid, is an external device that amplifies sounds but may not be as effective for individuals with severe sensorineural hearing loss as a cochlear implant. Option C, an amplification device, is a broad term that can refer to various devices like hearing aids or cochlear implants, so it is not specific enough in this context. Option D, an auditory implant, is a general term and not as specific as a cochlear implant for addressing sensorineural hearing loss in children. In an educational context, understanding the differences between these devices is crucial for healthcare providers, especially nurses working with pediatric patients with hearing impairments. Knowing the specific interventions available for different types of hearing loss ensures appropriate care and support for these children and their families.
Question 2 of 5
A nurse is caring for a child diagnosed with impetigo. The nurse should advise the parents to
Correct Answer: D
Rationale: In caring for a child diagnosed with impetigo, advising parents to administer topical antibiotics as prescribed (Option D) is crucial. Impetigo is a bacterial skin infection that requires antibiotic treatment to clear the infection effectively. Topical antibiotics directly target the bacteria causing impetigo, promoting faster healing and preventing spread to others. Applying warm compresses (Option A) may provide symptomatic relief but does not address the bacterial infection itself. Avoiding touching the rash (Option B) is important to prevent spread, but treatment with antibiotics is necessary for resolution. Allowing the child to bathe in a communal pool (Option C) is contraindicated as impetigo is highly contagious and can easily spread to others in such settings. Educationally, understanding the appropriate treatment for impetigo is essential for nurses caring for pediatric patients. Reinforcing the importance of completing the full course of prescribed antibiotics and emphasizing infection control measures are key aspects of nursing interventions for impetigo management.
Question 3 of 5
A nurse is teaching the parents of a child with a recent diagnosis of asthma. The nurse should explain that which of the following is a common trigger for asthma attacks?
Correct Answer: B
Rationale: In pediatric respiratory distress, understanding common triggers for asthma attacks is crucial for effective management. The correct answer is B) Cold air. Cold air can lead to bronchial constriction and airway inflammation, triggering asthma symptoms in susceptible individuals. When educating parents of a child with asthma, it is essential to highlight the impact of cold air and the importance of taking precautions during cold weather. Option A) Allergy to peanuts is incorrect because while food allergies can trigger allergic reactions, they do not directly cause asthma attacks in the same way cold air can. Option C) Sunlight is incorrect as it is not a common trigger for asthma attacks. Option D) Exercise, while it can induce exercise-induced bronchoconstriction in some asthmatic individuals, is not as universally common as exposure to cold air. Educationally, this question emphasizes the need for parents to be aware of environmental triggers for their child's asthma and to take preventive measures, such as wearing scarves or masks in cold weather, to reduce the risk of asthma exacerbations. By understanding and avoiding common triggers, parents can better support their child in managing their asthma effectively.
Question 4 of 5
A nurse is caring for a child with dehydration. The nurse should monitor for which of the following signs or symptoms as an indication of severe dehydration?
Correct Answer: D
Rationale: In caring for a child with dehydration, monitoring for signs and symptoms of severe dehydration is crucial for timely intervention. The correct answer is option D, "Sunken fontanels." Fontanels are soft spots on a baby's head where the skull bones have not yet fused. Sunken fontanels are a significant sign of severe dehydration in infants and young children as they indicate a significant decrease in fluid volume in the body. Option A, "Dry mouth and tongue," can be seen in moderate dehydration but may not necessarily indicate severe dehydration. Option B, "Reduced urine output," is a sign of dehydration but may not specifically indicate severe dehydration unless it is accompanied by other severe symptoms. Option C, "Rapid breathing," can be a response to dehydration, but it is not as specific to severe dehydration as sunken fontanels. Educationally, understanding the signs and symptoms of dehydration, especially in pediatric patients, is vital for nurses and healthcare providers. Knowing the specific indicators of severe dehydration, such as sunken fontanels in infants, helps in early recognition and prompt treatment to prevent complications. Nurses must be able to differentiate between mild, moderate, and severe dehydration to provide appropriate and timely interventions for pediatric patients.
Question 5 of 5
A nurse is assessing a child with a diagnosis of spina bifida. Which of the following findings would the nurse expect to see?
Correct Answer: D
Rationale: In pediatric nursing, understanding the manifestations of spina bifida is crucial for providing appropriate care. The correct answer, D) All of the above, is the expected finding in a child with spina bifida. This condition can present with a spectrum of neurological deficits, including paralysis of the lower limbs, an absence of deep tendon reflexes, weakness, and sensory loss in the lower limbs. Option A, paralysis of the lower limbs, is a common presentation in spina bifida due to the spinal cord defect affecting motor function. Option B, an absence of deep tendon reflexes, is also expected as the spinal cord lesion disrupts normal reflex arcs. Option C, weakness and sensory loss in the lower limbs, are indicative of nerve damage and impaired sensation, which are commonly seen in spina bifida. Educationally, this question highlights the neurological implications of spina bifida in children, emphasizing the importance of early assessment and intervention to prevent complications and optimize outcomes. Nurses caring for pediatric patients with spina bifida must be knowledgeable about these expected findings to provide holistic and individualized care.