PN Children Practice 2020A STUDY THIS ATI Principals And Issues Questions And Answers/2024.

A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the following parent statements indicated an understanding of the teaching? - correct answer "I will place a screen in front of the fireplace." The nurse should instruct the parent to place a screen in front of a fireplace or other heating appliances to prevent burns. A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease. Which of the following foods should the nurse recommend including in the child's diet? - correct answer White rice (The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in which eating gluten, even in very small amounts, can damage the child's small intestine. Currently, the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse should stress the importance of avoiding foods containing wheat, rye, barley, and oats. The child should consume foods that are gluten-free, such as milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh poultry, meats, fish, and dried beans.) A nurse in a clinic is collecting data from an adolescent who has received all recommended immunizations through the age of 6 years. Which of the following immunizations should the nurse paln to administer? - correct answer Tetanus, diptheria toxoids, and acellular pertussis (Tdap) The Tdap vaccine is recommended between the ages of 11 and 12 years. Therefore, this adolescent should receive the Tdap vaccine now. A nurse is collecting data from a 6-month-old child who is experiencing a sickle cell crisis. Which of the following areas should the nurse observe when monitoring for manifestations of splenic sequestration? - correct answer Box B (Anatomic position left side) B is correct. The nurse should observe the location over the infant's spleen when monitoring for manifestations of splenic sequestration. Splenic sequestration is an enlargement of the spleen due to pooling of sickled cells in the blood. A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea. Which of the following findings should the nurse identify as a risk for this disorder? (Select all) - correct answer Hypothyroidism is correct. The nurse should identify that hypothyroidism and other endocrine disorders are risk factors for primary amenorrhea. Cannabis use is correct. The nurse should identify that cannabis use is a risk factor for primary amenorrhea. Oral contraceptive use is correct. The nurse should identify that oral contraceptive use affects the estrogen and progesterone cycle and is a risk factor for primary amenorrhea. Emotional stress is correct. The nurse should identify that emotional stress causes hypothalamic suppression and is a risk factor for primary amenorrhea. A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following actions should the nurse take? - correct answer Have a suction canister and tubing available in the room. (The nurse should have a suction canister and tubing available in the child's room to keep the child's airway patent during a seizure.) A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering an IM antibiotic to a child 5 min ago. Which of the following manisfestations should the nurse expect to observe first? - correct answer Hives (The nurse should observe for hives first because this is an early manifestation of an anaphylactic reaction.) A nurse is contributing to the plan of care for an adolescent who has human immunodeficiency virus (HIV). Based on the adolescent's diagnosis, which of the following actions should be included in the plan of care? - correct answer Inform the client regarding routes of transmission. (The nurse should inform the client about the transmission of HIV and how to prevent its spread.) A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse should identify which of the following as an indication that the preschooler experienced an allergic reaction to the contrast dye? - correct answer Urticaria (The nurse should monitor the child for an allergic reaction to the contrast dye. Manifestations of the allergic reaction include urticaria, itching, flushing of the skin, and possible anaphylaxis.) A nurse is reinforcing teaching about glucose monitoring with the parent of a child who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching? - correct answer "Put your child's finger under warm, running water prior to collecting blood." (The nurse should instruct the parent that placing the child's finger under warm, running water increases th