ATI CAPSTONE- NURSING CARE OF CHILDREN

ATI CAPSTONE- NURSING CARE OF
CHILDREN


A8nurse8is8educating8new8parents8about8risk8factors8for8sudden8infant8death8syndrome(S
IDS).8Which8of8the8following8statements8should8indicate8to8the8nurse8the8need8for8additio
nal8teaching?

"Our8baby8will8sleep8in8our8bed8because8I8am8breastfeeding."
"We8will8give8my8baby8a8pacifier8during8naps8and8at8bedtime."
"We8will8place8my8baby8on8her8back8when8sleeping."
"We8will8remove8blankets8and8toys8from8the8crib."8-
8answer--"Our8baby8will8sleep8in8our8bed8because8I8am8breastfeeding.";



Allowing8an8infant8to8sleep8in8the8same8bed8as8an8adult8can8lead8to8suffocation8and8falls.
8The8parent8should8place8the8infant8back8in8her8crib8or8bassinet8after8breastfeeding.



A8nurse8is8providing8health8promotion8teaching8to8an8adolescent.8Which8of8the8following8i
nformation8should8the8nurse8include8in8the8teaching?

"Share8piercing8needles8only8with8close8friends8you8trust."
"Limit8your8caloric8intake8to8avoid8becoming8overweight."
"Your8need8for8sleep8will8increase8during8periods8of8growth."
"Tanning8beds8are8much8safer8then8lying8in8the8sun."8-
8answer--"Your8need8for8sleep8will8increase8during8periods8of8growth.";



The8nurse8should8inform8the8adolescent8that8sleep8needs8increase8during8growth8spurts.
8Adequate8sleep8and8rest8during8the8adolescent8period8is8important8for8optimal8health.



A8nurse8is8teaching8new8parents8the8proper8way8to8use8an8infant8safety8seat.8Which8of8th
e8following8should8indicate8to8the8nurse8a8need8for8further8teaching?

"I8will8dress8my8baby8in8a8one8piece8outfit8so8I8can8use8the8harness8to8secure8her8in8the8c
ar8seat."
"My8baby8will8be8able8to8watch8me8drive8while8sitting8in8the8back8seat."
"I8will8place8the8infant8safety8seat8in8the8middle8of8the8back8seat,8away8from8the8windows
."
"We8will8need8to8go8by8the8weight8and8height8of8the8child8when8deciding8to8change8to8a8b
ooster8seat."8-
8answer--"My8baby8will8be8able8to8watch8me8drive8while8sitting8in8the8back8seat.";

,The8safest8area8for8a8car8seat8is8in8the8back8seat.8Infants8should8travel8in8a8rear-
facing8position8for8the8best8protection8from8airbags8and8neck8and8head8injury.8While8in8a8
rear-
facing8position,8the8back8of8the8car8seat8supports8the8infant's8weak8neck8muscles,8soft8fo
ntanels,8and8spine8in8the8event8of8a8frontal8motor8vehicle8crash.

A8nurse8is8caring8for8a8child8on8the8oncology8unit.8The8child's8parents8are8asking8the8nur
se8about8the8cancer8diagnosis.8Which8of8the8following8information8should8the8nurse8provi
de8the8parents8about8the8most8common8malignant8renal8and8intra-
abdominal8tumor8of8childhood?

Ewing8sarcoma
Osteosarcoma
Neuroblastoma
Wilms'8tumor8-8answer--Wilms'8tumor;

Wilms'8tumor,8or8nephroblastoma,8is8the8most8common8malignant8renal8and8intra-
abdominal8tumor8of8childhood.

A8nurse8int8he8emergency8department8is8caring8for8a8child8who8is8experiencing8an8acute8
asthma8attack,8which8of8the8following8medications8should8the8nurse8expect8to8administer
8first?



Fluticasone
Budesonide
Montelukast
Albuterol8-8answer--Albuterol;

Albuterol8is8considered8a8"rescue"8medication8due8to8its8rapid8onset8of8action.8Asthma8is8
a8chronic8inflammatory8disorder8of8the8airways.8Asthmatic8episodes8are8associated8with8
airflow8limitation8or8reversible8obstruction.8Albuterol8is8a8beta28adrenergic8agonist8used8f
or8the8treatment8of8acute8exacerbations8of8asthma8by8promoting8bronchodilation8and8su
ppressing8histamine8release8in8the8lungs.8This8medication8can8be8given8by8inhalation,8or
ally,8or8as8a8parenteral8preparation.8The8inhaled8medication8has8a8more8rapid8onset8of8a
ction8than8the8oral8form8and8also8reduces8the8risk8for8the8adverse8effects8of8irritability,8tre
mor,8nervousness,8and8insomnia.

A8nurse8is8assessing8a8preschooler.8Which8of8the8following8findings8should8indicate8to8th
e8nurse8a8need8for8speech8therapy?8(Select8all8that8apply)

The8preschooler8stutters8when8speaking.
The8preschooler8mispronounces8words.
The8preschooler8speaks8in8three8word8sentences.
The8preschooler8talks8to8himself8when8reading.

, The8preschooler8speaks8in8a8nasally8tone.8-8answer--
The8preschooler8mispronounces8words.
The8preschooler8speaks8in8a8nasally8tone;

The8preschooler8stutters8when8speaking8is8incorrect.8Stuttering8is8expected8in8the8presc
hooler.8Stuttering8or8stammering8is8common8for8a8preschool-
age8child8who8is8learning8to8form8new8words8into8sentences.The8preschooler8mispronou
nces8words8is8correct.8Language8begins8to8increase8with8toddlers8as8development8progr
esses8towards8two8to8three8word8phrases.8Mispronounced8vowels8and8consonants8occur
8between8ages8248and8368months.8The8nurse8should8expect8a8toddler8to8mispronounce8

words.The8preschooler8speaks8in8three8word8sentences8is8incorrect.8Three8to8four8word8
sentences8(telegraphic8speech)8is8expected8for8preschoolers.8Preschoolers8ask8many8q
uestions8and8often8continue8talking8when8no-
one8is8listening.8The8preschooler8talks8to8himself8when8reading8is8incorrect.8During8presc
hool8development,8the8child8experiences8a8vivid8imagination8that8is8expressed8through8i
mitative8and8dramatic8play.8In8discovering8books,8the8child8becomes8engaged8in8the8stor
y8and8might8talk8to8himself.8Speaking8in8a8nasally8tone8is8correct.8A8child8who8speaks8wit
h8a8nasally8tone8might8have8a8neurogenic8speech8disorder8that8is8caused8by8weakened8
muscles8of8the8tongue,8soft8palate,8and8face.8A8speech8therapist8can8evaluate8the8child8
and8determine8exercises8to8improve8the8articulation,8voice,8pitch8quality,8and8volume.

A8nurse8is8teaching8the8mother8of8a8child8who8has8cystic8fibrosis8and8has8a8prescription8f
or8pancreatic8enzymes8three8times8per8day.8Which8of8the8following8statements8indicates8
that8the8mother8understands8the8teaching?

"My8child8will8take8the8enzymes8to8improve8her8metabolism."
"My8child8will8take8the8enzymes8following8meals."
"My8child8will8take8the8enzymes8to8help8digest8the8fat8in8foods."
"My8child8will8take8the8enzymes828hours8before8meals."8-
8answer--"My8child8will8take8the8enzymes8to8help8digest8the8fat8in8foods.";



Pancreatic8enzymes8help8the8body8to8digest8fat8in8foods.

A8nurse8is8caring8for8a83-year-
old8client8whose8parents8report8that8she8has8an8intense8fear8of8painful8procedures,8such8
as8injections.Which8of8the8following8strategies8should8the8nurse8add8to8the8child's8plan8of
8care?8(Select8all8that8apply)



Have8a8parent8stay8with8the8child8during8procedures.
Cluster8invasive8procedures8whenever8possible.
Perform8the8procedure8as8quickly8as8possible.
Allow8the8child8to8keep8a8toy8from8home8with8her.
Use8mummy8restraints8during8painful8procedures.8-8answer--
Have8a8parent8stay8with8the8child8during8procedures.
Perform8the8procedure8as8quickly8as8possible.
Allow8the8child8to8keep8a8toy8from8home8with8her;