ATI RN Pediatric Nursing 2023 I | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.

Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.

In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.

Correct Answer: B

Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.

Correct Answer: C

Rationale: The correct answer is C: Stevens-Johnson syndrome. Cefazolin is associated with severe skin reactions like Stevens-Johnson syndrome, a rare but serious condition characterized by blistering and peeling of the skin. The nurse should monitor for symptoms such as rash, blistering, mucosal involvement, and fever. Hypotension, prolonged wound healing, and bradypnea are not commonly associated adverse effects of cefazolin. Hypotension may be more common with other antibiotics like vancomycin. Prolonged wound healing is not a typical adverse effect of cefazolin but could occur in the context of an infection that is not being adequately treated. Bradypnea is not a known adverse effect of cefazolin.

Correct Answer: A

Rationale: The correct answer is A: Observe the child's throat with a flashlight. This is the first action the nurse should take because frequent throat clearing post-tonsillectomy could indicate bleeding. By observing the child's throat with a flashlight, the nurse can assess for signs of bleeding such as fresh blood or increased secretions. This immediate assessment is crucial for timely intervention if bleeding is suspected. Giving the child water (
B) may be contraindicated if there is active bleeding. Administering an analgesic (
C) or offering an ice collar (
D) should not be the priority when assessing for potential bleeding.

Correct Answer: A

Rationale: The correct answer is A. Asking the client if he is considering harming himself is the priority as it assesses the immediate risk of self-harm, which is crucial in managing major depressive disorder. This action allows the nurse to evaluate the severity of the client's condition and initiate appropriate interventions to ensure the client's safety. Encouraging group therapy (
B) and administering antidepressants (
C) are important, but assessing for self-harm takes precedence. Assisting with ADLs (
D) is also important but not as urgent as assessing for self-harm.