ATI CMS_Nursing Care of Children The Latest Updated Correct Questions and Answers 2024 Already Graded A+ 100%

ATI CMS_Nursing Care of Children The Latest Updated Correct Questions and Answers 2024 Already Graded A+ 100% Assisting with administration of nasogastric enteral feeding for an infant (x2) - CORRECT ANSWER-Position the head of crib at 30 degree angle between feedings Planning to administer a nasogastric enteral feeding - CORRECT ANSWER-Always confirm placement first (with pH- you cannot just auscultate to confirm placement) then aspirate contents Best food options for a child who has phenylketonuria - CORRECT ANSWER-Child with PKU cannot digest phenylalanine, which is present in most animal products Caring for a child in buck's traction - CORRECT ANSWER-This is a skin traction of the lower extremity; make sure that knots are away from pulleys, that the leg remains extended, that weights are free-hanging at all times, that blankets do not cover ropes and that the child cannot reach or interfere with the mechanism Converting ounces to mL - CORRECT ANSWER-1 oz = 30 mL Dietary recommendations for a child who has celiac disease (x2) - CORRECT ANSWER-Child with celiac disease cannot process plant protein gluten (present in wheat, barley, rye). Avoid oats b/c usually contaminated with gluten. Rice is okay! Dietary recommendations for child with lactose intolerance - CORRECT ANSWER-Child needs supplementary calcium and vitamin D intake, as the dairy products that they cannot consume are high in calcium. Also, take lactase when consuming a dairy product. Findings associated with poststreptococcal glomerulonephritis - CORRECT ANSWER-Oliguria Nutritional needs of the child who has acute postreptococcal glomerulonephritis - CORRECT ANSWER-Sodium restrictions (they are puffy and edematous and sodium follows water; limit it) Reinforcing Dietary Teaching for a Child who is recovering from Glomerulnephritis - CORRECT ANSWER-Pick lowest sodium option: apples Identifying nutritional risks in an adolescent - CORRECT ANSWER-Adolescents tend to eat a lot of junk foods high in calories but low in other nutritional content. At risk for inadequate micronutrient nutrition. Priority findings to report with skeletal traction - CORRECT ANSWER-Skeletal traction consists of force applied directly to bones through pins. Increased crusting or purulent drainage, along with other signs of infection, should be reported to provider. Priority intervention during a lumbar puncture - CORRECT ANSWER-Immediately after the procedure, maintain the child in their side lying position to prevent injury to the spinal nerves. Responding to a patient's refusal of medication - CORRECT ANSWER-"Provide the parent with vaccine information sheet." (Don't ask why, don't question them, don't tell them they HAVE to get vaccine) Identifying risk factors for Urinary Tract Infection - CORRECT ANSWER-Constipation (bowel movements every 4-5 days), urinary stasis, episode/hypospadias Assisting with scoliosis screenings for school age children - CORRECT ANSWER-Stand with feet together and then bend down as if touching toes, back parallel to floor Checking skin turgor in a child - CORRECT ANSWER-Best on abdomen Deviation from expected growth and development for a 12 month old infant - CORRECT ANSWER-Birth weight should be tripled Expected behavior for a 7 year old female child - CORRECT ANSWER-Spends a lot of time by herself Facilitating communication for a child who has hearing loss - CORRECT ANSWER-Speak slowly, facing the patient, avoid exaggerated movements, use facial expressions and hand gestures Interventions to promote sleep for a toddler - CORRECT ANSWER-Provide a consistent bedtime routine, "favorite stuffed animal" Reportable vital signs for a 12 month old infant - CORRECT ANSWER-Blood pressure in young children is usually low. Report 120/80 because outside of range Obtaining an infant's heart rate - CORRECT ANSWER-Apical pulse 60s Recommended immunizations for an adolescent - CORRECT ANSWER-Usually HPV, Tdap, or meningococcal vaccine Risk factors for primary amenorrhea - CORRECT ANSWER-Hypothyroidism, cannabis use, emotional stress, oral contraceptive use Administering ophthalmic drops to a child - CORRECT ANSWER-Apply pressure to tear duct for 1 min after, wipe from inner canthus to outer canthus, instill eye drops immediately after cleaning the eye Evaluating compliance to ferrous sulfate therapy, reinforcing teaching about liquid iron supplements - CORRECT ANSWER-Iron supplements are given with citrus fruit, between meals when the stomach is most acidic for better absorption, taken with a straw to avoid teeth discoloration, administered IM using z-track technique to prevent tissue staining. Iron supplements turn stool to a tarry green. Evaluating therapeutic effect of pancrelipase - CORRECT ANSWER-Pancrelipase is effective if steatorrhea resolves Identifying therapeutic effect of digoxin, findings to report for a child who is receiving digoxin, identifying digoxin toxicity - CORRECT ANSWER-Therapeutic effect: increased cardiac output, "my baby is breathing easier than she used to." Findings to report: anorexia, n/v, infant HR < 90, child HR < 70, vision changes, hypokalemia potentiates digoxin toxicity Medications to administer for acute exacerbations of asthma - CORRECT ANSWER-albuterol/levabuterol = the only rescue/quick acting bronchodilators Monitoring for allergic reactions to contrast dye - CORRECT ANSWER-Urticaria (itching) Caring for a toddler who has stomatitis - CORRECT ANSWER-Provide oral care (since the mouth with chlorhexidine mouthwash) Evaluating treatment of infant who has dehydration - CORRECT ANSWER-"sodium level of 145" is within expected range of 134-150 Expected findings of gastroesophageal reflux disease - CORRECT ANSWER-chronic cough Expected findings of severe dehydration - CORRECT ANSWER-Body weight loss > 10%, extreme thirst, no tears when crying, sunken fontanelles Home care of conjunctivitis - CORRECT ANSWER-Conjunctivitis is considered non-communicable after 24 hrs of antibiotic treatment. Do not share towels with the infected child, as this promotes spread of highly contagious injection Identifying a hemolytic reaction during a transfusion, monitoring a child who is receiving a blood transfusion - CORRECT ANSWER-Signs and symptoms of hemolytic reaction include chills and flank pain Interventions for mild hypoglycemia - CORRECT ANSWER-Administer 15 grams of carbohydrates (usually 4 oz of juice or soda) then recheck the blood glucose after 15 mins. Follow up with a more complex carbohydrate, such as toast or crackers Manifestations of pertussis - CORRECT ANSWER-dry cough Observing for an anaphylactic reaction - CORRECT ANSWER-Hives is the earliest manifestation (then wheezing, angioedema - hypotension is a late sign) Period of communicability for varicella - CORRECT ANSWER-Contagious until 6 days after the lesions appear, if they have crusted Priority finding for a toddler following a tonsillectomy - CORRECT ANSWER-Frequent swallowing or clearing of the throat = bleeding