WK3 ATI Endo Immune Genetic Detailed Answer Key RN 231 Quiz

WK3 ATI Endo Immune Genetic 1.A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? B. Skin integrity C. Blood pressure D. Respiratory rate 2.A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? B. A video game C. A story book about a child who has diabetes D. A period of play in the playroom 3.A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take? A. Teach the parents about cortisol replacement therapy. C. Monitor the child for fluid volume excess. D. Discuss the manifestations of hyperglycemia with the parents. 4.A nurse is reviewing data for four children. Which of the following children should the nurse assess first? Page 2 A. An anxiety reaction C. Meningococcal polysaccharide vaccine A. Encourage the client to complete school work. A. A 10-year-old child who has sickle cell anemia who reports severe chest pain B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 C. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) 5.A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions? B. Regression C. Resentment toward the mother D. Developing autonomy 6.A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? A. Pneumococcal polysaccharide vaccine B. Bacille Calmette-Guérin (BCG) vaccine 7.A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson? B. Vary the child's schedule each day. C. Discourage visits from the client's friends. D. Influenza vaccine D. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg