Questions 98

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ATI Nur 270 Pediatrics GI GU Exam Questions

Extract:

A 3-year-old child with upper respiratory infection and low-grade fever being treated with Acetaminophen


Question 1 of 5

A 3-year-old child with upper respiratory infection and low-grade fever is being treated with Acetaminophen. The nurse is reviewing important anticipatory guidance with the parents. Which statement by the parents indicates the need for further teaching about this medication?

Correct Answer: B

Rationale: The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

Extract:

An infant who has a 2-day history of vomiting and an elevated temperature


Question 2 of 5

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Correct Answer: D

Rationale: Body weight is the most reliable indicator of fluid loss, as it reflects changes in fluid status directly and provides a clear measure for assessing hydration.

Extract:

A parent calls a clinic and reports that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating


Question 3 of 5

Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.

Extract:

A child who is in sickle cell crisis


Question 4 of 5

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.

Extract:

A 2-month-old child with a fever of 101.7°F, appears toxic with poor color


Question 5 of 5

The nurse is caring for a 2-month-old child with a fever of 101.7°F. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?

Correct Answer: B

Rationale: Administering antibiotics is the priority action because the child shows signs of potential serious infection, and timely antibiotic treatment is crucial in young infants who may quickly deteriorate.

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