Nursing Care of Children ATI

Nursing Care of Children ATI Related

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A 14-year-old with chronic renal failure suddenly becomes non-compliant with the medication regimen. Which nursing intervention would most likely improve compliance?

  • A. Give the child a computer-animated game that presents information on the management of chronic renal failure.
  • B. Set up a meeting with some older teens who have chronic renal failure and have been managing their disease effectively.
  • C. Arrange for a physician to sit down and talk to the child about the risks related to noncompliance with medications.
  • D. Discuss with the child's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.
Correct Answer: B

Rationale: Adolescents often seek guidance and support from their peers. Setting up a meeting with older teens who are effectively managing chronic renal failure can provide the 14-year-old with motivation, encouragement, and practical advice on how to handle their treatment regimen. This peer support can positively influence the non-compliant adolescent, making choice B the most likely intervention to improve compliance. Choices A and C may not address the peer influence aspect of adolescent behavior, while choice D focuses on punitive measures rather than addressing the underlying reasons for non-compliance.

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Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose test." What is the purpose of this test?

  • A. Deep tendon reflexes
  • B. Cerebellar function
  • C. Sensory discrimination
  • D. Ability to follow directions
Correct Answer: B

Rationale: The finger-to-nose test assesses cerebellar function, which is responsible for balance and coordination. The test evaluates how well the cerebellum controls motor functions and coordination. Choice A, deep tendon reflexes, is incorrect because this test does not assess reflexes but rather cerebellar function. Choice C, sensory discrimination, is incorrect as this test focuses on motor function rather than sensory abilities. Choice D, ability to follow directions, is incorrect since the test primarily assesses motor coordination and not cognitive skills related to following instructions.

At which age do most infants begin to fear strangers?

  • A. 2 months
  • B. 4 months
  • C. 6 months
  • D. 12 months
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

What is most important in the management of cellulitis?

  • A. Burow solution compresses
  • B. Oral or parenteral antibiotics
  • C. Topical application of an antibiotic
  • D. Incision and drainage of severe lesions
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is teaching parents about diarrhea in young children. A parent asks the nurse what causes most cases of diarrhea in young children. How should the nurse respond?

  • A. Rotavirus
  • B. Giardia
  • C. Shigella
  • D. Salmonella
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A parent and 4-year-old child are waiting in an exam room when the nurse enters and greets them. Which activity that the nurse observes the child doing would best demonstrate the primary developmental task of the preschool-age child, according to Erikson?

  • A. Reading a book
  • B. Singing a song he learned at preschool
  • C. Opening drawers in the room, pulling out supplies, and examining them
  • D. Roughhousing with the parent
Correct Answer: C

Rationale: The correct answer is C. According to Erikson, the primary task of a preschool-aged child is to explore and assert control over their environment. This behavior is demonstrated by the child opening drawers, pulling out supplies, and examining them, showcasing curiosity and exploration. Choices A, B, and D do not align with the primary developmental task of a preschool-age child according to Erikson. Reading a book and singing a song are more passive activities, while roughhousing with the parent does not directly relate to exploration and asserting control over the environment.

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