ATI RN Pediatrics Nursing 2023

Extract:

A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.

Question 1 of 5

Which of the following findings should indicate to the nurse that treatment has been effective?

Correct Answer: D

Rationale: The correct answer is D: Clear urine. Clear urine indicates proper hydration and kidney function, showing that the treatment has been effective in maintaining the body's fluid balance. Odorless urine (choice
A) is not a reliable indicator of treatment effectiveness. Temperature (choice
B) within normal range doesn't directly relate to treatment success. No pain with voiding (choice
C) is important but doesn't necessarily indicate treatment effectiveness. The focus should be on physiological changes like clear urine to assess treatment outcomes.

Extract:

A nurse is planning care for a preschooler who has autism spectrum disorder.

Question 2 of 5

Which of the following interventions should the nurse include in the plan?

A. Hold the child during assessments. B. Establish a reward system. C. Maintain extended eye contact. D. Engage in cooperative play.

Correct Answer: B

Rationale: The correct answer is B: Establish a reward system. This intervention is important in pediatric nursing to promote positive behavior and compliance with treatments. By providing incentives, the child is motivated to participate in their care. Holding the child during assessments (
A) may hinder the assessment process. Maintaining extended eye contact (
C) can be intimidating for some children. Engaging in cooperative play (
D) may not be relevant to the specific care plan.

Choices E, F, and G are not provided but based on the context, they would likely be incorrect since they are not related to interventions for promoting cooperation in pediatric care.

Extract:

A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.

Question 3 of 5

Which of the following information is the priority for the nurse to include?

A. Restrict the child's strenuous activities for 3 days. B. Use a hair dryer on a cool setting to relieve itching. C. Monitor for pallor or swelling in the child's affected hand. D. Examine the child for skin irritation at the cast edges.

Correct Answer: C

Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.

Extract:

Nurses' Notes: 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. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. 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 4 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:
Correct Answer: A, B, D, F, G

Rationale:
A: Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B: Using a mild detergent for the child's laundry can help reduce potential skin irritation from harsh chemicals.
D: Informing the guardian about occasional flare-ups prepares them for potential worsening of the condition.
F: Applying gloves to the child's hands can prevent scratching and help protect the lesions from further irritation.
G: Applying emollients to the child's skin after bathing helps moisturize and soothe the skin, reducing dryness and itching.

Incorrect

Choices:
C: Pimecrolimus cream is a prescription medication and should not be included in general discharge instructions.
E: Incorrect, the child's condition is not contagious unless specified by a healthcare provider.

Extract:

Which of the following best describes the purpose of obtaining consent?

Question 5 of 5

To ensure the patient understands the risks.

A. To obtain permission from the patient's family for treatment. B. To protect the nurse from legal liability. C. To allow the healthcare provider to proceed with treatment without patient input.

Correct Answer: A

Rationale: The correct answer is A because obtaining permission from the patient's family for treatment is crucial to ensure that the patient understands the risks involved. Involving the family helps in providing comprehensive information and support to the patient.
Choice B is incorrect because the primary focus should be on patient care rather than protecting the nurse legally.
Choice C is incorrect as proceeding with treatment without patient input goes against the principles of informed consent.

ATI RN Pediatrics Nursing 2023 | Nurselytic

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