ATI RN NURSING CARE OF CHILDREN A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the
... [Show More] nurse plan to take?
Schedule the toddler for a yearly rescreening.
A charge nurse in an emergency department is preparing an in-service for a group of newly licensed nurses on the clinical manifestations of child maltreatment. Which of the following clinical manifestations should the charge nurse include as suggestive of potential physical abuse?
Symmetric burns of the lower extremities
A nurse is assessing an infant who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider?
Nasal flaring
A nurse is creating a plan of care for a preschooler who has Wilms' tumor and is scheduled for surgery. Which of the following interventions should the nurse include?
Avoid palpating the abdomen when bathing the child before surgery.
A nurse is creating a plan of care for a toddler who has minimal change nephrotic syndrome (MCNS) and 3+ pitting edema. Which of the following interventions should the nurse include in the plan?
Administer corticosteroids to the toddler.
A nurse is creating an educational plan to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include?
Choose a waterproof sunscreen with an SPF of at least 15."
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take?
Administer the immunization using a 24-gauge needle.
A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the following clinical manifestations should the nurse expect? (Select all that apply.)
Ankle clonus is correct. A child who has spastic cerebral palsy will exhibit ankle clonus which is a rhythmic reflex tremor when the foot is dorsiflexed.
Exaggerated stretch reflexes is correct. A child who has spastic cerebral palsy will exhibit spasticity or exaggerated stretch reflexes.
Contractures is correct. A child who has spastic cerebral palsy will exhibit contractures due to the tightening of the muscles.
A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
Administer IM epinephrine to the child.
A nurse in the emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take?
Monitor the child's oxygen saturation.
A nurse in the emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? (You will find "hot spots" to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A is correct. The nurse should identify the lower right quadrant of the abdomen between the umbilicus and the anterior iliac crest as the location of McBurney's point.
school nurse is assessing a school age childs BP while he is seated in the chair. Child starts to EXP a tonic clonic seizure. Which of the following should the nurse take first?
assist the child to a side-lying position on the floor.
A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?
"Award the child with a sticker when he sits on the potty chair."
A nurse is providing dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child?
Rice pudding
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Withhold the influenza vaccine. The live attenuated influenza vaccine is contraindicated in a child who has asthma
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for temperatures above 38.0º C (100.5º F) to an infant who weighs 17.6 lb. The infant has a temperature of 38.4º C (101.2º F). Available is ibuprofen liquid 100 mg/5 ml. How many mL should the nurse administer to the infant per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
2 ML
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take?
Apply topical analgesic cream to the site 1 hr prior to the procedure.
A nurse is creating a plan of care for a newly-admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions?
For 24 hr following initiation of antimicrobial therapy [Show Less]