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1. A nurse is reinforcing teaching with Vitamin D
the parent of a school-age child who Lactose intolerance is managed by eliminating dairy
has lactose intolerance. Which of products from the diet. However, this can result in a
the following supplements should decrease in bone density because of the lack of calcium
the nurse instruct the parent to in- and vitamin D in the diet. The nurse should instruct
clude in the child's diet? the parent to administer a vitamin D supplement to the
child to enhance the absorption of calcium from foods
other than those containing lactose.
2. A nurse is reviewing the laboratory Hgb 9.0 g/dL
values of a school-age child who has The nurse should expect a child who has iron deficien-
iron deficiency anemia. Which of the cy anemia to have an Hgb level below the expected
following findings should the nurse reference range of 9.5 to 15.5 g/dL. An Hgb of 9.0 g/dL
expect? is below the expected reference range.
3. A nurse is collecting data from The infant is 76.2 cm (30 in) long
a 12-month-old infant during a The nurse should expect a length of 76.2 cm (30 in),
well-child visit. At birth, the infant's because the infant's length should increase by about
weight was 3.6 kg (8 lb) and his 50% by 12 months of age.
length was 50.8 cm (20 in). Based
on this data, which of the following
findings should the nurse expect?
4. A nurse is reinforcing teaching "I will give this medication to my child with a straw."
about liquid oral supplements with The nurse should reinforce with the guardian to ad-
the guardian of a school-age child minister this medication with a straw to prevent stain-
who has iron deficiency anemia. ing the child's teeth.
Which of the following statements
by the guardian indicates an under-
standing of the teaching?
5.
, ATI Nursing Care of Children Practice B
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A nurse is caring for a toddler who "Tell me more about what you are feeling."
has terminal cancer and is receiv- The nurse should use open-ended statements that will
ing hospice care. The child's parent allow the parent to share his feelings and emotions.
tells the nurse, "I'm a bad parent, During times of grief, the parent needs to express his
and I can't deal with this." Which of emotions. The use of an open-ended statement relays
the following responses should the the message that it is safe to do so with the nurse.
nurse make?
6. A nurse is administering an injec- Increased systolic blood pressure
tion of epinephrine to a child who is Epinephrine is an adrenergic agonist used to treat
experiencing manifestations of ana- anaphylaxis by activating the sympathetic nervous sys-
phylaxis. The nurse should monitor tem. The nurse should expect the child to have an
for which of the following adverse increased systolic blood pressure following adminis-
effects? tration of epinephrine.
7. A nurse is reinforcing teaching with Putting together a large-piece puzzle
the parents of a 2-year-old toddler The nurse should recommend putting together a
at a well-child visit. Which of the large-piece puzzle as an age-appropriate activity for a
following should the nurse recom- 2-year-old toddler. Puzzles provide the child an oppor-
mend as an age-appropriate activity tunity to develop fine motor skills. Other fine motor skill
for the toddler? activities include finger painting and coloring with thick
crayons.
8. A nurse is collecting data from a Sits with support by leaning on hands
10-month-old infant. Which of the The nurse should identify that sitting with support
following findings should the nurse can indicate a developmental delay, because an infant
report to the provider? should be able to sit unsupported by 8 months of age.
Therefore, the nurse should report this finding to the
provider.
9. A nurse is reinforcing teaching with Yellow corn
the family of an adolescent client A client who has celiac disease is unable to process
who was recently diagnosed with gluten, a protein found in wheat, barley, rye, and oats.