ATI RN
ATI Nur307 Pediatrics Quiz Questions
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. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 1 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Indicated | Contraindicated |
|---|---|---|
| Administer Sulfamethoxazole and trimethoprim | ||
| Advise child's guardian about the use of sunscreen | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: [
Explanation: Administering Sulfamethoxazole and trimethoprim is indicated for treating infections. Advising about sunscreen is important for sun protection. Educating about perineal hygiene is crucial for personal hygiene. The other choices are contraindicated for various reasons: administering salicylic acid can be harmful in children, limiting fluid intake without appropriate assessment can lead to dehydration.]
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Question 2 of 5
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Question 5 of 5
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