Which parent statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?

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ATI PN Pediatrics Proctored Exam 2020 Questions

Question 1 of 5

Which parent statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?

Correct Answer: C

Rationale: Monitoring for skin irritation is essential in colostomy care to prevent breakdown. Changing with every diaper is excessive, bleeding is abnormal, and adhesive enhancers are not routine unless prescribed.

Question 2 of 5

The nurse knows which of the following is the first step in newborn airway clearance?

Correct Answer: C

Rationale: Suctioning is the first step in newborn airway clearance per resuscitation guidelines, clearing obstructions safely.

Question 3 of 5

While admitting an uncircumcised 4-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; she is unable to replace it over the head of the penis. What should she do?

Correct Answer: B

Rationale: Paraphimosis (tight foreskin impeding blood flow) requires immediate physician notification (B) to prevent tissue damage. Forcing the skin (A), waiting (C), or warm compresses (D) delay critical intervention. Document: 'Notify the physician immediately of the occurrence of paraphimosis… [it] can impede the blood flow.'

Question 4 of 5

A 7-month-old has been admitted to the hospital with a diagnosis of acute gastroenteritis. The priority goal of the infant's care is to prevent which of the following?

Correct Answer: C

Rationale: Preventing fluid and electrolyte imbalance (C) is the priority in gastroenteritis due to dehydration risk. Nutrition (A), skin (B), and malabsorption (D) are secondary. Document: 'The priority goal… is preventing fluid and electrolyte imbalance.'

Question 5 of 5

The nurse discussed ideas with a mother on how to prevent her daughter from having recurrent urinary tract infections. Which of the following statements indicates the mother needs additional information?

Correct Answer: C

Rationale: Bubble baths (C) irritate the urethra, increasing UTI risk, indicating misunderstanding. Front-to-back wiping (A), cotton underwear (B), and fluids/frequent voiding (D) prevent UTIs. Document: 'Oils in bubble baths… are known to irritate the urethra.'

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