ATI RN NURSING CARE OF CHILDREN LATEST 2024 PROCTORED EXAM - LEVEL3. 300+ QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES ALREADY GRADED A+
a nurse is caring for an infant who's receiving IV fluids for the tx of Tetralogy of Fallot and begins to have a hypercyanotic spell. which of the following actions should the nurse take?
a. place infant in a knee-chest position
b. admin a dose of meperidine IV
c. discontinue admin of IV fluids
d. apply oxygen at 2 L/min via nasal cannula - Answer-A
-to decrease the return of desaturated venous blood from the legs and to direct more blood into the pulmonary artery by increasing systemic vascular resistance.
nurse is caring for a school-age child who has DM and was admitted w/ a diagnosis of diabetic ketoacidosis. when performing the respiratory assessment, which of the following findings should the nurse expect?
a. deep respirations of 32/ min
b. shallow respirations of 10/min
c. paradoxic respirations of 26/min
d. periods of apnea lasting for 20 seconds - Answer-A
-should expect Kussmaul respirations in a child who has diabetic ketoacidosis. These deep and rapid respirations are the body's attempt to eliminate excess carbon dioxide and achieve a state of homeostasis.
a nurse is teaching a school-age child and their parent about postop care following a cardiac catheterization. which of the following instructions should the nurse include?
a. stay home from school for 1 wk
b. follow a diet that is low in fiber for 1 wk
c. wait 3 days before taking a tub bath
d. apply a pressure dressing to the site for 3 days - Answer-c
nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. which of the following instructions should the nurse include in the teaching?
a. use a kitchen teaspoon to measure the med
b. brush the child's teeth after giving the med
c. double the next dose if the child misses a dose
d. repeat the dose if the child vomits - Answer-b
a nurse in the ED is assessing a toddler who has Kawasaki disease. which of the following findings should the nurse expect? SATA
a. increased temp
b. gingival hyperplasia
c. xeropthalmia
d. bradycardia
e. cervical lymphadenopathy - Answer-A, C, E
-fever, reddening of the conjunctiva and dryness of the eyes, enlarged cervical nodes are all s/s of Kawasaki disease
After a patient returns from cardiac catheterization, the nurse assesses that the pulse distal to the catheter insertion site is weaker. The nurse should
a. elevate affected extremity
b. record the data on the nurse's notes
c. notify the physician of the observation
d. apply warm compresses to the insertion site - Answer-b
-The pulse distal to the catheter insertion site may be weaker for the first few hours after catheterization. It should gradually increase in strength. Because a weaker pulse is an expected finding, the nurse should document this and continue to monitor.
A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. The position automatically assumed by the child is
a. low Fowler's
b. prone
c. supine
d. squatting - Answer-d
Orthopnea - Answer-A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
A) Weight loss
B) Increased urine output
C) Bradycardia
D) Orthopnea
"I will give my baby high calorie formula." - Answer-A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs.
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