ATI RN Pediatrics 2023 | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Administer ceftriaxone. In an emergency department setting, ceftriaxone is commonly used to treat bacterial infections in infants. It covers a broad spectrum of bacteria and is often indicated in cases of suspected sepsis or meningitis. Administering this antibiotic promptly can be crucial in preventing serious complications.

Summary of other choices:
B: Initiate serum glucose testing every 1 hr - Not typically indicated for a 3-month-old infant unless there are specific concerns about glucose levels.
C: Administer pneumococcal conjugate vaccine - Vaccination is important but not an immediate action in an emergency setting.
D: Initiate neutropenic precautions - Neutropenic precautions are not typically necessary for a 3-month-old infant in the emergency department setting.

Correct Answer: D

Rationale: The correct answer is D. Cystic fibrosis is a genetic disorder that affects the pancreas, leading to difficulty in digesting food. Taking pancreatic enzymes with meals and snacks helps the child properly digest and absorb nutrients. This is crucial for growth and overall health.
Choice A is incorrect as tonsil and adenoid removal is not typically indicated for cystic fibrosis.
Choice B is incorrect as isoniazid is used to treat tuberculosis, not cystic fibrosis.
Choice C is incorrect as chest x-rays are not routinely done to monitor cystic fibrosis.

Correct Answer: C

Rationale: The correct answer is C: Observe the child's throat with a flashlight. This is the first action the nurse should take because the child's frequent throat clearing may indicate bleeding, which is a common complication post-tonsillectomy and requires immediate attention. Administering water (choice
A) may worsen bleeding if present. Administering an analgesic (choice
B) is not the priority as the child's throat clearing is a more urgent issue. Offering an ice collar (choice
D) may not address the potential bleeding. Observing the child's throat with a flashlight (choice
C) allows the nurse to assess for any signs of bleeding and take appropriate action promptly.

Correct Answer: B

Rationale: The correct answer is B: "My child might experience mood swings." This statement indicates understanding because prednisone, a corticosteroid, can cause mood swings as a common side effect. This shows the parent comprehends the potential side effects of the medication.
Choice A is incorrect because withholding medication before physical activity could be dangerous during an asthma attack.
Choice C is incorrect as weekly blood tests are not typically required for monitoring prednisone use.
Choice D is incorrect as decreased appetite is a common side effect but not the best indicator of understanding the teaching.

Correct Answer: C

Rationale:
Correct
Answer: C - The child is curious about what happened to the sibling's body.


Rationale: It is age-appropriate for preschool-age children to be curious about death and what happens to the body. This curiosity is a natural part of their development as they begin to understand the concept of death. It is a way for them to make sense of the situation and cope with their emotions.

Incorrect

Choices:
A: The child feels responsible for the sibling's death - Preschool-age children typically do not have the cognitive ability to understand complex concepts like responsibility for death.
B: The child views the sibling's death as permanent - Preschool-age children may not fully grasp the permanence of death.
D: The child can give a logical explanation for the sibling's death - Preschool-age children may not have the cognitive ability to provide logical explanations for death events.