ATI RN Pediatrics 2023

Extract:

Adolescent following scoliosis repair with spinal instrumentation

Question 1 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: A

Rationale: The correct answer is A: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent injury to the surgical site. Logrolling helps maintain proper alignment of the spine and reduces stress on the incision site. Two nurses are needed to ensure proper technique and to prevent strain on one nurse.

Choice B, maintaining the head of the bed at a 30° angle, is incorrect because it is not a priority action post-surgery and may not directly impact the surgical site.
Choice C, assisting the adolescent to ambulate 12 hr following surgery, is incorrect because early ambulation is beneficial but may not be appropriate immediately post-surgery.
Choice D, offering sips of water 4 hr following surgery, is incorrect because oral intake is typically restricted immediately after surgery to prevent complications.

Extract:

History and Physical A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.

Question 2 of 5

Select the 5 interventions the nurse should include.

A. Administer folic acid as prescribed. B. Monitor oxygen saturation continuously. C. Apply cold compresses to the affected joints. D. Restrict oral intake. E. Instruct the parent to ensure the pneumococcal vaccine is current. F. Place the client on strict bed rest. G. Administer meperidine IV for pain.

Correct Answer: A,B,E,H

Rationale: The correct choices are A, B, E, and H. A is correct as folic acid is essential for pregnant women to prevent neural tube defects. B is correct to monitor oxygen saturation in a patient with respiratory issues. E is crucial to ensure vaccination for prevention. H should also be included as it is important to maintain proper hydration.

Choices C, D, F, and G are incorrect. C is unnecessary for this situation. D should not be chosen unless specifically indicated. F is not recommended for all cases, and G is not the appropriate pain management for this scenario.

Extract:

Adolescent requesting testing for STIs

Question 3 of 5

A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?

A. Obtain written consent from the client. B. Request verbal consent from the social worker. C. Contact the client's parents to obtain phone consent. D. Postpone the testing until the client's parents are present.

Correct Answer: A

Rationale: The correct answer is A, obtain written consent from the client. This is appropriate because the adolescent is seeking testing for STIs, which is considered a sensitive issue requiring informed consent. Written consent ensures the client fully understands the procedure, risks, and implications. Verbal consent (
B) may not provide a documented record of consent. Contacting the client's parents (
C) may violate the adolescent's confidentiality and autonomy. Postponing testing (
D) can delay necessary care. The other choices are not relevant.

Extract:

Toddler after orchiopexy procedure

Question 4 of 5

A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?

A. I won't let them use a toy that is straddled for 2 weeks.' B. I can let them resume all of their physical activities.' C. I'm happy they are no longer at risk of fertility issues when they are older.' D. They won't need any pain medications at home.'

Correct Answer: A

Rationale: The correct answer is A because it shows understanding of the post-operative care instructions following an orchiopexy procedure. Restricting straddling activities for 2 weeks helps prevent stress on the surgical area, promoting healing.
Choice B is incorrect as resuming all physical activities too soon can lead to complications.
Choice C is incorrect as the procedure does not eliminate the risk of fertility issues.
Choice D is incorrect because pain medications may be needed post-operatively.

Extract:

Child with asthma using a metered-dose inhaler

Question 5 of 5

A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take.

Order the Items

Source Container

Exhale slowly through the nose.

Depress the canister while inhaling slowly.

Hold breath for 10 seconds.

Remove the inhaler from the mouth.

Correct Answer: A,B,C,D

Rationale: The correct sequence of steps for using a metered-dose inhaler with a mouthpiece is as follows:

A: Exhale slowly through the nose - This step ensures that the child's lungs are ready to receive the medication and helps in controlling breathing during inhalation.
B: Depress the canister while inhaling slowly - This step allows the child to inhale the medication effectively into their lungs.
C: Hold breath for 10 seconds - Holding the breath helps the medication to be absorbed into the lungs and provides optimal effectiveness.
D: Remove the inhaler from the mouth - This step prevents the child from accidentally inhaling more medication and ensures proper completion of the process.

Other choices are incorrect as they do not align with the correct sequence of steps required for using a metered-dose inhaler with a mouthpiece.

ATI RN Pediatrics 2023 | Nurselytic

Nurselytic

ATI RN

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