Questions 98

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ATI Nur 270 Pediatrics GI GU Exam Questions

Extract:

An adolescent with sickle cell anemia, pain in extremities rated 9/10, swelling at hand joints, hemoglobin 5 g/dL, hematocrit 30%, RBC count 3.3, WBC count 12,000/mm3, platelets 148,000/mm3, temperature 38.8°C, pulse 110/min, respiratory rate 20/min, BP 100/80 mm Hg, oxygen saturation 96%


Question 1 of 5

Which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer: B,E,F

Rationale: Bedrest minimizes energy expenditure, blood transfusion addresses severe anemia, and IV fluids promote hydration to reduce sickling and pain.

Extract:

A toddler with acute otitis media


Question 2 of 5

The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?

Correct Answer: D

Rationale: Baby aspirin is contraindicated in children due to the risk of Reye's syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.

Extract:

A child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets


Question 3 of 5

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Correct Answer: D

Rationale: Giving ferrous sulfate with orange juice enhances the absorption of iron due to the vitamin C content.

Extract:

A child with nephrotic syndrome


Question 4 of 5

In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Correct Answer: A

Rationale: Weighing the child daily on the same scale is critical for monitoring fluid retention and managing edema, which are primary concerns in nephrotic syndrome.

Extract:

A child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression


Question 5 of 5

A nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

Correct Answer: C,D

Rationale: Encouraging frequent close contact with visitors and having fresh flowers/plants increase infection risk in an immunocompromised child.

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