ATI RN Pediatric Nursing 2023 I | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Stevens-Johnson syndrome. Cefazolin is associated with severe skin reactions like Stevens-Johnson syndrome, a rare but serious condition characterized by blistering and peeling of the skin. The nurse should monitor for symptoms such as rash, blistering, mucosal involvement, and fever. Hypotension, prolonged wound healing, and bradypnea are not commonly associated adverse effects of cefazolin. Hypotension may be more common with other antibiotics like vancomycin. Prolonged wound healing is not a typical adverse effect of cefazolin but could occur in the context of an infection that is not being adequately treated. Bradypnea is not a known adverse effect of cefazolin.

Correct Answer: B

Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.

Correct Answer: B

Rationale: The correct answer is B: I have to notify the public health department. This statement is crucial in managing syphilis as it is a reportable disease. By notifying the public health department, the nurse ensures proper tracking, monitoring, and treatment of the disease to prevent its spread. It also helps in identifying and notifying potential contacts for testing and treatment.

Choices A, C, and D are incorrect as they do not address the public health implications of syphilis and may not contribute to effective disease management.

Correct Answer: A

Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.

Correct Answer: A

Rationale: The correct answer is A: Tachypnea. In heart failure, the heart cannot pump effectively, causing fluid to build up in the lungs, leading to respiratory distress and tachypnea (rapid breathing). Tremors and increased appetite are not typically associated with heart failure. Bradycardia (slow heart rate) is not a common clinical manifestation of heart failure; instead, it can be a sign of worsening condition.