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ATI LPN Paediatrics nursing exam 4
Total Questions : 43
Showing 10 questions, Sign in for moreA nurse is preparing to administer 0.9% 1L to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/ml. The nurse should set the manual IV infusion to deliver howmany gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Flowrate(gtt/min)= Total volume /Time×Dropfactor(gtt/mL)
Given:
- Total volume = 1000 mL (1 L)
- Time = 8 hours × 60 minutes = 480 minutes
- Drop factor = 15 gtt/mL
- Flowrate(gtt/min)= 1000 /480×15= 31.25(gtt/mL)
Answer: 31 gtt/min (rounded to the nearest whole number)
A 5-year-old child is admitted to the hospital with acute glomerulonephritis. In taking the child’s history, what does the nurse recognize as the probable cause?
1800:
Guardians report child has a 2-day history of nausea, vomiting, and diarrhea. Child reports an intermittent "belly ache" and states, "I don't feel good." Guardians state the child has been having frequent emesis and "can't keep anything down."
Child irritable and frequently requesting a drink. Lips and mucus membranes dry. Capillary refill 3 seconds. Sluggish skin recoil noted.
1830: Child vomited small amount of clear-colored mucoid fluid. Voided a small amount of dark concentrated urine. Passed a moderate amount of liquid brown stool. No blood noted in stool. Urine and blood specimens collected.
(1800):
- Temperature: 38.0°C (100.4°F)
- Heart Rate: 130 beats per minute
- Respiratory Rate: 28 breaths per minute
- Blood Pressure: 90/60 mmHg
- Oxygen Saturation: 98% on room air
- Weight: 18 kg (39.6 lb)
Laboratory result
Electrolytes:
- Sodium (Na): 135 mEq/L (Reference Range: 135-145 mEq/L)
- Potassium (K): 3.2 mEq/L (Reference Range: 3.5-5.0 mEq/L)
- Chloride (Cl): 98 mEq/L (Reference Range: 98-106 mEq/L)
- Bicarbonate (HCO3-): 18 mEq/L (Reference Range: 22-28 mEq/L)
Blood Urea Nitrogen (BUN): 30 mg/dL (Reference Range: 7-20 mg/dL)
Creatinine: 0.6 mg/dL (Reference Range: 0.3-0.7 mg/dL)
A nurse is assisting in the care of a preschool aged child in the emergency department.
Complete the following sentence by using the list of options.
The nurse should anticipate a provider prescription for an
Explanation
Correct answers: IV fluid bolus and electrolyte replacement
IV fluid bolus: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine, tachycardia).
Electrolyte replacement: The child has hypokalemia (K = 3.2 mEq/L), which needs correction.
A nurse is reinforcing teaching with the parents of a child who has a urinary tract infection (UTI). Which of the following should the nurse include? Select all that apply.
A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.
A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?
A nurse is contributing to the plan of care of a 14-month old toddler who is 24 hr postoperative following a cleft palate repair. Which of the following interventions should the nurse include in the plan.
A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?
A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?
A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
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