Questions 69

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ATI Nur307 Pediatrics Quiz Questions

Extract:


Question 1 of 5

A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: C

Rationale: Weighing the child daily monitors fluid retention, a key aspect of managing nephrotic syndrome.

Extract:

Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. Assessment: Child is alert and responsive. Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated. Heart rate 108/min. Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.


Question 2 of 5

Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

Correct Answer: A,B,D,F,G

Rationale: A: Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin. B: Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis. D: Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition. F: Applying gloves to the child's hands can prevent scratching and further skin damage. G: Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.

Extract:


Question 3 of 5

A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Rounded abdomen due to abdominal distention is a common finding in necrotizing enterocolitis from gas and fluid buildup.

Question 4 of 5

A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Goat milk lacks necessary nutrients for infants and should not be used as the sole source of nutrition. Commercially prepared infant formula is the best alternative.

Question 5 of 5

A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?

Correct Answer: C

Rationale: Logrolling every 2 hours by two nurses maintains spinal alignment after scoliosis surgery.

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