ATI RN Pediatric Nursing 2023 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C because hemodialysis uses an artificial membrane outside the body to clean the patient's blood. This process involves the blood being filtered through a machine that contains a semipermeable membrane, allowing waste products and excess fluids to be removed.
Choice A is incorrect because the abdominal cavity is not used as a membrane in hemodialysis.
Choice B is incorrect as hemodialysis does not involve using an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis involves periodically filtering the blood, not continuously.
Therefore, the nurse should make statement C to accurately explain the process of hemodialysis.

Correct Answer: A

Rationale:
Correct
Answer: A. Provide for periods of rest.


Rationale: Rest is essential for children with cyanotic congenital heart disease to conserve energy and reduce oxygen demand on the heart. This can help prevent episodes of cyanosis and reduce the risk of complications. Providing periods of rest allows the child to recover from physical exertion and helps maintain stable oxygen levels.

Incorrect

Choices:
B. Increasing oxygen flow rate until the child no longer has cyanosis is not appropriate as it can lead to oxygen toxicity and potential harm to the child.
C. Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is typically indicated for heart conditions and should not be withheld based solely on heart rate.
D. Weighing the child once each month is not directly related to managing cyanotic congenital heart disease and may not be as crucial as providing periods of rest.

Correct Answer: D

Rationale: The correct answer is D because asking how the client prefers to learn new information promotes individualized teaching. By understanding the client's preferred learning style, the nurse can tailor education to enhance understanding and retention. Option A is incorrect as the nurse should directly educate the client. Option B involves a third party (parent) unnecessarily. Option C does not address individual learning needs. Options E, F, and G are not provided, hence not relevant.

Correct Answer: B

Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding indicates a developmental delay in neck muscle strength and control, which could be a sign of a neurological or musculoskeletal issue. The nurse should report this to the provider for further evaluation and intervention.

Choices A, C, and D are typical developmental milestones for infants that may vary in timing but are not necessarily concerning if delayed. Reporting them may lead to unnecessary interventions.

Correct Answer: D

Rationale: The correct action for the nurse to take is to time the episode (
Choice
D). Timing the episode is essential in assessing the duration and severity of the situation, providing crucial information for further intervention. Administering chlorothiazide (
Choice
A) without proper assessment can be harmful. Holding the child down (
Choice
B) can escalate the situation and cause distress. Placing the child in a prone position (
Choice
C) may compromise airway and breathing.
Therefore, timing the episode (
Choice
D) is the most appropriate initial action for the nurse to take.