Questions 69

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ATI Nur307 Pediatrics Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?

Correct Answer: B

Rationale: Wearing gloves prevents the spread of impetigo, which is highly contagious through direct contact.

Extract:

Nurses' Notes: 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Medical History: 0930: Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux. Provider Prescriptions: 0945: Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter. Vital Signs: 0930: Temperature 38.4° C (101.1 F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results: 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).


Question 2 of 5

The child is at risk for developing __ and __.

Correct Answer: A,B

Rationale: The child's history of vesicoureteral reflux and recurrent UTIs increases the risk of pyelonephritis and renal scarring due to potential backflow of urine into the kidneys.

Extract:


Question 3 of 5

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Correct Answer: C

Rationale: Vomiting is a sign of digoxin toxicity, requiring immediate attention to reassess the dose and check for other toxicity signs.

Question 4 of 5

A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?

Correct Answer: A

Rationale: Bradypnea is a common adverse effect of morphine due to its respiratory depressant properties.

Question 5 of 5

A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?

Correct Answer: C

Rationale: A decrease in peripheral edema indicates furosemide is effectively reducing fluid retention, a sign of its efficacy.

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