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Ati nur307 paediatrics nursing exam

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Total Questions : 16

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Question 1:

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated?

Answer and Explanation

A
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Question 2:

A parent tells a nurse that her toddler drinks 32 oz of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddle is at risk for which of the following disorders?

Answer and Explanation

A
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Question 3:

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

Answer and Explanation

A
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Question 4:

A nurse is providing teaching to the parent of an infant about introducing solid foods. The nurse should recommend that which of the following foods be introduced first?

Answer and Explanation

A
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Question 5:

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?

Answer and Explanation

A
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Question 6:

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Answer and Explanation

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Question 7:

A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?

Answer and Explanation

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Question 8:

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

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Question 9:

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the tube feeding?

Answer and Explanation

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Question 10:

Presents to emergency department (ED) with parents who report child has had two episodes of severe abdominal pain causing child to pull knees to chest and become inconsolable. Parents also report that the child has passed red, jelly-like stools this morning. Child is lying on bed with knees drawn to chest and crying. Abdomen distended and tender with a small palpable mass in right upper quadrant of abdomen. Assessment findings reported to provider 

0815:

Temperature: 36.8° C (98.2° F)

Heart rate: 120/min

Respiratory rate: 28/min

Blood pressure: 87/46 mm Hg

Oxygen saturation: 98% on room air

A nurse is caring for an 18-month-old infant.

Exhibits
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

Explanation

Condition: Intussusception

Actions to Take:

  • Place child on NPO status - The child should not receive oral intake to prevent aspiration and to prepare for potential surgical intervention or a procedure like an air enema, which is commonly used to treat intussusception.
  • Prepare child for air enema - An air enema is the preferred non-surgical treatment for intussusception. It may help reduce the telescoping of the bowel and restore normal bowel function.

Parameters to Monitor:

  • Stool patterns - Red, jelly-like stools are a key characteristic of intussusception, which is caused by the telescoping of the intestines. Monitoring stool patterns helps assess the progression and resolution of the condition.
  • Abdominal pain - The child is already experiencing severe abdominal pain, often associated with intussusception. Ongoing monitoring of pain will help gauge the effectiveness of treatment and any changes in the condition.

Rationale

Intussusception is a condition where one part of the intestine slides into another, leading to obstruction. It is a common cause of abdominal pain and is characterized by red, jelly-like stools due to the presence of blood and mucus. The child's symptoms, including abdominal pain, crying, and the palpable mass, strongly suggest this condition.

Air enema is a non-invasive treatment that can reduce the telescoped segment of the intestine, often resolving the issue without the need for surgery.

Stool patterns and abdominal pain are both critical indicators of the condition's progress, and careful monitoring will help guide further interventions.


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