ATI Nursing Care of Children

ATI Nursing Care of Children Related

Review ATI Nursing Care of Children related questions and content

A school-age child is admitted to the pediatric unit with a vaso-occlusive crisis. Which of these should be included in the nursing plan of care?

  • A. Correction of alkalosis
  • B. Pain management and administration of heparin
  • C. Adequate oxygenation and replacement of factor VIII to correct the sickling
  • D. Adequate hydration, oxygenation, and pain management
Correct Answer: D

Rationale: The correct answer is D. Vaso-occlusive crises in sickle cell anemia require a comprehensive approach that includes adequate hydration to reduce blood viscosity, oxygenation to prevent further sickling of red blood cells, and aggressive pain management. This approach helps improve tissue perfusion and manage pain effectively. Choices A, B, and C are incorrect. Correction of alkalosis is not a priority in vaso-occlusive crisis management. Administration of heparin is not indicated as it can increase the risk of bleeding in sickle cell patients. Factor VIII replacement is not relevant to sickle cell anemia as it is a treatment for hemophilia, not sickle cell disease.

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A newborn is admitted to the nursery with a complete bilateral cleft lip and palate. The mother refuses to see or hold her infant. What should the nurse do first?

  • A. Restate what the physician has told her about plastic surgery
  • B. Suggest holding her baby without making eye contact
  • C. Encourage and allow the mother to express her feelings
  • D. Recognize and allow the mother to express her feelings
Correct Answer: D

Rationale: In this situation, the priority is to acknowledge and validate the mother's feelings, creating a supportive environment for her. Option D is correct as it focuses on recognizing and allowing the mother to express her emotions. This approach can help build trust and facilitate communication. Options A and B are incorrect as they do not address the mother's emotional needs and may come across as dismissive. Option C is less appropriate as it only encourages expression without explicitly recognizing the mother's current emotional state.

The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)

  • A. Set clear and reasonable goals
  • B. Teach desirable behavior through your own example
  • C. Don't call attention to unacceptable behavior
  • D. All of the above
Correct Answer: D

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

The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?

  • A. Ask the parent when the neck was injured
  • B. Refer for immediate medical evaluation
  • C. Continue assessment to determine the cause of the neck pain
  • D. Record head lag on the assessment record and continue the assessment of the child
Correct Answer: B

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

The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?

  • A. Introduce him- or herself
  • B. Make the family comfortable
  • C. Give assurance of privacy
  • D. Explain the purpose of the interview
Correct Answer: A

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

According to Piaget, which principle supports a nine-year-old child's understanding that an arm will look the same when the IV is removed?

  • A. The principle of conservation
  • B. The principle of transductive reasoning
  • C. The principle of identity
  • D. The principle of reflex abilities
Correct Answer: A

Rationale: The correct answer is A, the principle of conservation. Piaget's principle of conservation relates to a child's ability to understand that certain properties of objects remain unchanged despite modifications in their appearance. In this case, the child's understanding that an arm will look the same after the IV is removed demonstrates conservation of appearance. Choice B, transductive reasoning, involves making faulty generalizations based on specific instances and does not apply in this context. Choice C, the principle of identity, pertains to recognizing objects as the same even if they undergo transformations, which is not directly relevant to the scenario. Choice D, reflex abilities, refers to automatic responses to stimuli and is unrelated to the child's understanding of the arm's appearance post-IV removal.

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