Questions 49

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ATI RN Test Bank

ATI Nur 270 Pediatrics GI Questions

Extract:

An 8 year child with acute lymphoblastic leukemia receiving chemotherapy through a central venous access device.


Question 1 of 5

A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

Correct Answer: B

Rationale: Parents should notify their provider immediately if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.

Extract:

A child who is in sickle cell crisis.


Question 2 of 5

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.

Extract:

A child who has acute gastroenteritis but is able to tolerate oral fluids.


Question 3 of 5

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

Correct Answer: A

Rationale: An oral rehydration solution is specifically designed to replace lost fluids and electrolytes, making it the best choice for children recovering from gastroenteritis.

Extract:

A 3 year old child with upper respiratory infection and low-grade fever being treated with Acetaminophen.


Question 4 of 5

A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

Correct Answer: B

Rationale: The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

Extract:

A child who has sickle cell anemia after an acute crisis episode.


Question 5 of 5

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

Correct Answer: D

Rationale: Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.

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