ATI RN Pediatrics 2023

Extract:

Child with juvenile idiopathic arthritis and a new prescription for prednisone

Question 1 of 5

A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?

A. Limit your child's intake of potassium-rich foods.'B. Monitor your child for indications of infection.'C. Expect that this medication will stimulate a growth spurt.'D. Discontinue this medication if gastrointestinal upset occurs.'

Correct Answer: B

Rationale: Prednisone increases infection risk; monitoring is essential. A. Potassium restriction isn't needed. C. Growth may be stunted, not spurred. D. Stopping abruptly is dangerous; consult the provider.

Extract:

School-age child receiving morphine

Question 2 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?

A. HypertensionB. Stevens-Johnson syndromeC. Prolonged wound healingD. Bradypnea

Correct Answer: D

Rationale: Bradypnea is a common morphine effect due to respiratory depression. A. Hypotension, not hypertension, is likely. B. SJS isn't linked. C. Healing isn't affected.

Extract:

Preschooler with neutropenia

Question 3 of 5

A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?

A. Avoid raw fruits and vegetables in the child's diet.B. Bathe the child every other day.C. Obtain the child's rectal temperature once daily.D. Administer vaccines prior to discharge.

Correct Answer: A

Rationale: Raw produce risks infection in neutropenia; avoiding it is key. B. Daily bathing prevents infection. C. Rectal temperatures risk bacterial entry. D. Vaccines, especially live ones, are contraindicated.

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:
Correct Answer: A. Avoiding straddled toys for 2 weeks protects the surgical site. B. Full activity risks injury. C. Fertility isnâ€™t guaranteed post-orchiopexy. D. Pain meds are often needed.

Extract:

Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.

Question 5 of 5

For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

A. Administer sulfamethoxazole and trimethoprimB. Administer salicylic acid for pain and fever.C. Educate the child about proper perineal hygiene.D. Advise child's guardian about the use of sunscreen.E. Ensure the child receives a maximum of 1,200 mL/day of fluid.

Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated

Rationale: A. Anticipated: Effective antibiotic for UTIs. B. Contraindicated: Salicylic acid risks Reyeâ€™s syndrome in children. C. Anticipated: Hygiene prevents recurrent UTIs. D. Contraindicated: Sunscreen isnâ€™t UTI-related. E. Contraindicated: Fluid restriction worsens UTIs; hydration is key.

ATI RN Pediatrics 2023 | Nurselytic

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ATI RN

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