ATI RN Pediatric Nursing 2023

Extract:

Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).

Question 1 of 5

Which of the following actions should the nurse take?

A. Administer ceftriaxone.B. Administer pneumococcal conjugate vaccine.C. Initiate serum glucose testing every 1 hr.D. Initiate neutropenic precautions.

Correct Answer: A

Rationale: A. Given the cloudy appearance of the cerebrospinal fluid (CSF) and elevated white blood cell count (WB
C) in the CSF, there may be an indication of meningitis. Ceftriaxone is a broad-spectrum antibiotic commonly used to treat bacterial meningitis. B. Vaccines prevent infections but are not immediate treatment. C. Glucose monitoring is not the priority over infection treatment. D. Neutropenic precautions are not indicated.

Extract:

A nurse is providing teaching for a 20-year-old adolescent who has syphilis.

Question 2 of 5

Which of the following statements should the nurse make?

A. You need to come back in a week for retesting.B. I have to notify the public health department.C. I have to contact your parents.D. Let's review the side effects of metronidazole.

Correct Answer: B

Rationale: B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis. A. Retesting may be needed, but notification is immediate. C. Contacting parents is not appropriate for a 20-year-old. D. Metronidazole is not used for syphilis treatment.

Extract:

A nurse is preparing to administer an oral medication to a preschooler.

Question 3 of 5

Which of the following actions should the nurse take to encourage acceptance of the medication?

A. Provide an ice pop after administering the medication.B. Give 4 oz of milk with the medication.C. Mix the medication with the child's favorite food.D. Dilute the medication with 8 oz of water.

Correct Answer: A

Rationale: A. Providing an ice pop after administering the medication is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste. B. Milk may interact with some medications. C. Mixing with food can alter taste perception negatively. D. Diluting with water may affect medication stability.

Extract:

A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.

Question 4 of 5

Which of the following recommendations should the nurse make?

A. Store opened vials of insulin for up to 60 days.B. Follow up with physical therapy.C. Consult with a nutritionist.D. Monitor capillary blood glucose daily.

Correct Answer: C

Rationale: C. Consulting with a nutritionist is important for individualized meal planning and carbohydrate counting to manage blood sugar levels. A. Insulin should be discarded within 28 days of opening. B. Physical therapy is not routine for diabetes. D. Blood glucose monitoring is essential but not the only recommendation.

Extract:

The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.

Question 5 of 5

Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

A. You should cut and file your child's fingernails frequently.B. You should use a mild detergent for your child's laundry.C. You should apply a thick layer of pimecrolimus cream to your child's lesions.D. Your child will experience occasional flare-ups of this condition.E. Your child's condition is contagious when lesions are present.F. You can apply gloves to your child's hands.G. You should apply emollients to your child's skin after bathing.

Correct Answer: A,B,D,F,G

Rationale: A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection. B. Using a mild detergent for the child's laundry can help minimize irritation to the skin. C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence. E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.

ATI RN Pediatric Nursing 2023 | Nurselytic

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