ATI Pediatrics Practice (Top 2024/2025 EXAM REVIEW DOC )

ATI Pediatrics Practice A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions should the nurse include in the plan? a. Provide small, frequent meals for the child. b. Schedule time in the play room for the child. c. Weigh the child weekly. d. Maintain the child in a supine position. - a. Provide small, frequent meals for the child. The metabolic rate of a child who has heart failure is high because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve energy. The nurse should restrict play activities to the child's bed to minimize energy expenditure. The nurse should weigh the child daily. To provide for maximum chest expansion, the nurse should maintain the child's bed in a semi-Fowler's position. A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? a. "I should remove the harness at night to allow my infant to stretch her legs." b. "I will need to adjust the straps on the harness once each week." c. "I should apply baby powder to my infant's skin twice daily." d. "I will place my infant's diapers under the harness straps." - d. "I will place my infant's diapers under the harness straps." To prevent soiling of the harness, the parent should apply the infant's diaper under the straps. The harness is to be worn continuously until the hip is stable, which usually occurs within 6-12 weeks. Removing the harness frequently or for long periods of time will reduce the effectiveness of the treatment. The Pavlik harness is designed to maintain the infant's hips in a position of flexion & abduction. The nurse should instruct the parent not to adjust the harness in any way to avoid complications. The use of powders & lotions should be avoided during treatment with a Pavlik harness because these products, in combination with the harness, can cause skin irritation and breakdown. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? a. Administer ibuprofen to the child for a temperature greater than 38º C (100.4º F). b. Assess the child's blood pressure every 8 hr. c. Weigh the child weekly at various times of the day. d. Initiate seizure precautions for the child. - d. Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? a. Purulent nasogastric drainage b. Absence of peristalsis c. Passage of dark red stool with mucus d. WBC count 6,000/mm3 - b. Absence of peristalsis The nurse should expect absence of peristalsis immediately following a perforated appendix repair, until the bowel resumes functioning. Purulent drainage is not an expected finding following a perforated appendix repair. The nurse should expect brown to green-tinged drainage from the NG tube. Passage of dark red stool with mucus is not an expected fi