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Ati nurs 243 paediatrics exam
Total Questions : 36
Showing 10 questions, Sign in for moreA home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?
The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is "wet." On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?
A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?
A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?
2300: 6-year-old male admitted with Sickle Cell Anemia in vaso-occlusive crisis. The child is complaining of pain in the abdomen, right tibia, and headache. The child indicates pain level is 10 on the FACES Pain Scale. Abdomen is soft, with generalized mild tenderness throughout on palpation but moderate tenderness in the RUQ, non-distended and has hypoactive bowel sounds in all four quadrants. The night tibia is warm to Touch and tender to palpation but has no edema or skin breakdown noted. Pulses are 34 and strong bilaterally at popliteal and pedal areas. Child is awake, crying, and able to respond appropriately to questions. Parent at bedside and indicates this is the 4th admission for crisis in the last 6 months and the crisis episodes are increasing in severity. Parent indicates the child takes oxycodone 5 mg every 3-4 hours at home for chronic pain and takes hydroxyurea daily. Parent reports the child voided while in the ER.
In ER. Infused initial fluid bo us of NSS at 20 kg x1, followed by NSS maintenance fluid infusing @ 67 hour Started 02 via nasal cannula @ 4L/min. Administered Oxycodone 3 mg PO in ER et 2000
Explanation
Monitor RLE pulses with vital signs:
Anticipated. Regular monitoring of pulses, especially in areas of pain or tenderness, is essential to assess for adequate perfusion and circulation, which can be compromised in vaso-occlusive crisis.
Administer Oxycodone 3 mg Q3-4 hours PRN for pain:
Anticipated. Pain management is crucial in treating vaso-occlusive crises. Continuation of pain medication is necessary to keep the child's pain under control.
Continue IV NSS bolus @ 67 ml/hour:
Anticipated. Hydration is vital in managing a vaso-occlusive crisis as it helps to reduce blood viscosity and prevent further sickling of red blood cells.
Decrease O2 to 2 L/min:
Contraindicated. Maintaining adequate oxygenation is important in managing vaso-occlusive crises to ensure that tissues receive sufficient oxygen and to prevent further sickling of red blood cells. Decreasing oxygen flow can compromise oxygen delivery.
A 2-year-old child is diagnosed with neuroblastoma. The nurse understands that which of the following tests help to determine the extent of tumor metastasis?
A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?
The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?
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