ATI RN Paediatric nursing 2023
Total Questions : 55
Showing 25 questions, Sign in for moreA nurse is caring for a school-age child who has cystic fibrosis.
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list?
Select all that apply.
Exhibit 1 Exhibit Exhibit 3
Exhibit 4
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right- sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
Blood pressure 110/72 mm Hg Respiratory rate 20/min Oxygen saturation 95% on room air
Assessment
Awake, alert, and oriented x 3
Yellow sclera of eyes noted bilaterally
Right upper quadrant tender to palpation Hands painful to touch and swollen bilaterally
Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10.
Client is tearful and grimacing during the examination.
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Which of the following instructions should the nurse include in the teaching?
A nurse in the emergency department is preparing to discharge a 3-year- old child
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.
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.
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian?
Select all that apply.
Exhibit 3 Diagnostic Results Cerebrospinal fluid
Pressure: 22 cm H,O (less than 20 cm H2O) Color: Cloudy (clear or colorless)
Blood: None (none)
Cells
RBC: 0 (0)
WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL)
Serum glucose: 64 mg/dL (60 to 100 mg/dL)
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
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