ATI Detailed Answer Key Homework 8 - Pediatrics

ATI Detailed Answer Key Homework 8 - Pediatrics. A nurse is reinforcing teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the following is an appropriate statement by the nurse? Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate. A. “The blood supply to the bone is disrupted.” Rationale: A fracture of the epiphyseal plate can affect growth in a child. Therefore, it needs to be detected and treated rapidly. B. “Normal bone growth can be affected.” Rationale: The epiphyseal plate is the cartilage growth plate. Therefore, bone marrow is not lost through this type of fracture. C. “Bone marrow can be lost though the fracture.” Rationale: Children heal fractures in less time than adults because of the generous blood supply to the bone and the epiphyseal plate. D. “The healing process will take longer.” 2. Detailed Answer Key Homework 8 - Pediatrics A nurse is planning to speak to a group of adolescents about toxic shock syndrome (TSS). The nurse knows that TSS is commonly associated with which of the following? Rationale: Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus aureus, is characterized by shock and multiple organ dysfunction. It most often affects menstruating women who use highly absorbent tampons. A. High-absorbency tampons Rationale: Mosquito bites are not associated with TSS. B. Mosquito bites Rationale: International travel is not associated with TSS. C. International travel Rationale: TSS is not associated with multiple sexual partners. D. Multiple sexual partners 3. A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis? Rationale: Visible gastric peristaltic waves moving from the left to the right are a clinical manifestation of pyloric stenosis. A. Absent bowel sounds Rationale: Vomiting causes a depletion of fluid and electrolytes, therefore a decrease in serum sodium levels is a clinical manifestation of pyloric stenosis. B. Increased sodium level Rationale: Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the duodenum resulting in projectile vomiting. C. Projectile vomiting after feedings Rationale: An olive-shaped mass is palpable right of the umbilicus is a clinical manifestation of pyloric stenosis. D. Golf ball-sized mass over the left quadrant 4. CAA_DetailedAnswerKey created 10/05/2012 page 2 of 18 Detailed Answer Key Homework 8 - Pediatrics A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the following is an appropriate action for the nurse to take? Rationale: NSAIDs are used to control pain. Therefore, administering opioids on a schedule is not an appropriate action for the nurse to take. A. Administer opioids on a schedule. Rationale: Physical mobility will assist in preserving function and maintaining mobility. Therefore, prolonged periods of complete joint immobilization is not an appropriate action for the nurse to take. B. Schedule prolonged periods of complete joint immobilization daily. Rationale: Heat is beneficial for relieving pain and stiffness. Therefore, applying cool compresses for 20 minutes every hour is not an appropriate action for the nurse to take. C. Apply cool compresses for 20 minutes every hour. Rationale: Maintaining night splints to the affected joints will assist in range of motion. Therefore, this is an appropriate action for the nurse to take. We offer online tutoring, help with assignments and essay writing for all majors with a guaranteed pass. For assistance Contact Tutor Lucas: