ATI Capstone Exam 2 Final | Nurselytic

Correct Answer: A

Rationale: The correct answer is A. Offering the child a choice of taking the medication with juice or water empowers the child and gives them a sense of control over the situation, increasing the likelihood of cooperation. This strategy respects the child's autonomy and preferences, fostering a positive relationship between the child and the nurse. It also promotes trust and reduces anxiety associated with taking medication.
Other choices are incorrect because:
B: Lying to the child by telling them the medication is candy is unethical and can lead to trust issues.
C: Threatening the child with a shot instills fear and is coercive, which can lead to negative associations with taking medication.
D: Hiding the medication in ice cream may lead to the child developing mistrust towards food and medication, and it does not address the underlying issue of the child's resistance.

Correct Answer: D

Rationale: The correct answer is D: Give a sponge bath until the cord stump falls off. This instruction is correct because keeping the cord stump dry and clean helps prevent infection. Washing the cord daily with soap and water (choice
A) can actually increase the risk of infection. Applying petroleum jelly (choice
B) can also trap moisture and lead to infection. Covering the cord with a diaper (choice
C) can create a moist environment ideal for bacterial growth. Giving a sponge bath (choice
D) avoids submerging the stump in water, reducing infection risk.

Correct Answer: A,B,C,E

Rationale:
Correct Answer: A, B, C, E


Rationale:
A: Mispronouncing words may indicate speech difficulties.
B: Speaking in short sentences could suggest language development delay.
C: Stuttering may require intervention from a speech therapist.
E: Speaking in a nasally tone may indicate a speech disorder.
Incorrect

Choices:
D: Talking to oneself while reading is a common behavior and not necessarily indicative of needing speech therapy.

Correct Answer: B

Rationale: The correct answer is B: Respiratory rate 8/min. Morphine sulfate is an opioid that can cause respiratory depression as an adverse effect. A respiratory rate of 8/min is significantly below the normal range (12-20/min) and indicates respiratory depression, a serious adverse effect of morphine. This finding requires immediate intervention to prevent further complications such as respiratory arrest.

Choice A (Sleepy, but arousing when her name is called) is a common side effect of morphine but not necessarily an adverse effect requiring immediate intervention.

Choice C (Pain level of 6 on a scale from 0 to 10) is not indicative of an adverse effect of morphine.
The other choices are not provided, but they would be incorrect as they do not indicate a serious adverse effect of morphine sulfate.

Correct Answer: A

Rationale: The correct answer is A: Chamomile may act as a calming agent. Chamomile is commonly used for its calming and relaxing properties, making it beneficial for reducing stress, anxiety, and promoting sleep. It is often consumed as a tea or used in aromatherapy for its soothing effects.

Summary of why other choices are incorrect:
B: Chamomile does have anti-inflammatory properties, but they are more commonly used for skin conditions like eczema and dermatitis, not cholesterol.
C: Chamomile is not known to decrease cholesterol levels.
D: Chamomile is commonly used to reduce nausea and vomiting, but the primary use is as a calming agent.