ATI PN Pediatrics Nursing 2023 II | Nurselytic

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ATI PN Pediatrics Nursing 2023 II Questions

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Question 1 of 5

A nurse is collecting data from an infant whose guardian reports worsening symptoms. The infant has a cough productive of very thick white mucus. Upon auscultation, wheezes are heard bilaterally on inspiration and expiration. Moderate substernal and subcostal retractions are noted. Mucous membranes are pink, and a large amount of clear to white nasal discharge is noted. Capillary refill is 2 to 3 seconds. The guardian states the infant has difficulty feeding, often vomits, and has not had a wet diaper for 8 hours. During coughing episodes, mucous membranes are cyanotic, and oxygen saturation decreases. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Administering oxygen therapy addresses hypoxemia from cyanosis and low saturation, the priority to prevent hypoxic injury. Hydration, positioning, and intubation are secondary.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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