ATI Nursing Care of Children

ATI Nursing Care of Children Related

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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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An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?

  • A. Ask her why she wants to know.
  • B. Determine why she is so anxious.
  • C. Explain in simple terms how it works.
  • D. Tell her she will see how it works as it is used.
Correct Answer: C

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

The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?

  • A. Pedals tricycle without assistance
  • B. Unscrews a bolt on a toy
  • C. Falls when bending over to touch toes
  • D. Builds a tower of 10 cubes
Correct Answer: C

Rationale: The correct answer is C. Falling when bending over to touch toes could indicate a developmental delay or a balance issue that may need further assessment. Choices A, B, and D are typical developmental milestones for a 3-year-old child. Pedaling a tricycle without assistance, unscrewing a bolt on a toy, and building a tower of 10 cubes are all age-appropriate activities for a child of this age.

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.

When transitioning from intravenous to oral morphine, what would the nurse anticipate regarding the oral dose in comparison to the intravenous dose to achieve equianalgesia?

  • A. Same as the intravenous dose
  • B. Greater than the intravenous dose
  • C. One half of the intravenous dose
  • D. One fourth of the intravenous dose
Correct Answer: B

Rationale: When switching from intravenous to oral morphine, a higher oral dose is required to achieve equianalgesia due to significant metabolism from the first-pass effect. Choosing the same oral dose as the intravenous dose would provide less pain relief. Opting for a dose greater than the intravenous dose is necessary to achieve the same analgesic effect. Therefore, options A, C, and D are incorrect.

The parents of a child with sickle cell anemia ask why their child did not have a sickle cell crisis until he was approximately 6 months old. How should the nurse respond?

  • A. Your child probably had a crisis, and you were unaware of the symptoms.
  • B. Are you sure your child has sickle cell anemia and not sickle cell trait?
  • C. Affected children can be asymptomatic in early infancy because of high levels of fetal hemoglobin that inhibit sickling.
  • D. Have you asked your doctor about this yet?
Correct Answer: C

Rationale: The correct answer is C. Fetal hemoglobin (HbF) is present in high levels during early infancy, inhibiting sickling unlike adult hemoglobin (HbS). As the levels of HbF decrease and HbS increases, the risk of sickling and crises becomes more pronounced, typically after 6 months of age. Choice A is incorrect because it assumes the crisis went unnoticed, which is not supported by medical knowledge. Choice B is incorrect as it questions the child's diagnosis rather than explaining the phenomenon of delayed crises. Choice D is incorrect as it does not provide the parents with the necessary information regarding their query.

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