RNSG 1343 PEDS ATI WITH RATIONALE

RNSG 1343 PEDS ATI WITH RATIONALE 1. A nurse is providing teaching to the guardians of a school- age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? a) Prolonged headache b) Lack of sleep c) Decreased temperature d) Exposure to secondhand smoke Rationale: this is also a symptom of a seizure disorder. This is the common trigger that increases the risk of seizures. a) “You can replace milkd with nondairy source calcium” b) “You can drink milk on an empty stomach” c) You should consume flavored yogurt instead of plain yogurt” d) “You might tolerate plain milk than chocolate milk” No rationale online 3. A nurse is caring for an infant who has rotavirus. Which of the following findings indicate that the infant is moderately dehydrated? a) Respiratory rate 28/min b) Weight loss 7% c) Capillary refill 1 second d) Bradycardia Rationale: RR 28/min, capillary refill of 1 second are normal findings. Tachycardia occurs with moderate dehydration 4. A nurse is caring for an adolescent who is 1hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? a) Muscle rigidity b) Heart rate 63/min c) Temperature 36, 40C (97.5F) d) Abdominal pain Rationale: A heart rate of 63/min and temperature of 97.5F are normal findings. After an appendectomy is expected to have abdominal pain. 5. A nurse is planning care for an 8-month infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a) Place the infant in a prone position b) Provide less frequent, higher volume feedings c) Repeat a digoxin dosage if the infant vomits within 1 hr of administration. d) Administer cool, humidified oxygen via nasal cannula Rationale: ATI pg 117. Provide cool humidified oxygen via oxygen hood, masks or nasal cannula to improve tissue oxygenation. Allow the child to sleep with several pillows and encourage semi-fowlers or fowlers position while awake. Plan to feed the infant using a feeding schedule of every 3 hr. An infant should be monitored for signs of digoxin toxicity and those include bradycardia, dysrhythmias, nausea, or anorexia. 6. A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is not ready to resume oral intake. Which of the following dietary choices should the nurse offer the child? a) Chocolate milk b) Sugar-free cherry gelatin c) Vanilla ice cream d) Lime-flavored ice pop Rationale: ATI pg.92. Advance the diet with soft, bland foods. The ATI didn’t specify what types of foods. (Found on google>) Soft foods include yogurt, cooked cereal, ice cream, pudding, soft fruit. I was between C or D. 7. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? a) Measles, mumps and rubella (MMR) b) Pneumococcal conjugate (PCV13) c) Rotavirus d) Respiratory syncytial virus (RSV) Rationale: ATI pg127. Nursing care in a patient with sickle cell anemia to treat and prevent infections: Administer pneumococcal conjugate vaccine, meningococcal vaccine, haemophilus influenzae type B vaccine 8. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider? a) Heart rate b) WBC count c) Oxygen saturation d) HbA1c Rationale: ATI p.106. Nursing care: Assess lung sounds and respiratory status, vital signs withoxygen saturation. Cystic fibrosis is a respiratory disorder so I would assume that oxygen saturation would be an important finding to report. 9. A charge nurse is planning care for an infant who has failure to thrive, Which of the following actions should the nurse include in the plan of care? a) Use if half-strength formula when feeding the infant b) Give the infant fruit juice between feedings c) Assign consistent nursing staff to care for the infant d) Keep the infant in a visually stimulating environment Rationale: no rationale online 10. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a) “Your child should keep the bicycle at least 3 feet from the curb while riding in the street” “ b) Your child should walk the bicycle through intersections” c) “Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle” d) “Your child should ride the bicycle against the flow of traffic” 11. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? a. “I will move my baby’s stuffed animal to the corner of her crib while she sleeps” b. “I will have my baby sleep next to me in bed during the night”c. “I will dress my baby in lightweight clothing to sleep” d. “I will lay my baby on her side to sleep for naps” Rationale: ATI p. 287. Remove pillows, quilts, and stuffed animals from the crib during sleep. Avoid co-sleeping, Prevent overheating, place the infant on the back for sleep. 12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take? a) Place the child in a side-lying position b) Instruct the child to drink fluids through a straw c) offer the child ice cream when alert d) Encourage the child to deep breathe and cough Rationale: Found the answer on quizlet. On ATI; Place in a position to facilitate drainage. You should discourage coughing, throat clearing and nose blowing to protect the surgical site. It doesn’t say anything about the ice cream or about drinking with a straw. 13. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take? a) Contact the client’s parent to obtain phone consent b) Obtain written consent from the client c) Request verbal consent from the social worker d) Postpone the testing until the client’s parents are present No rationale online. Common sense 14. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? a) A toddler who has a partial thickness burn on his right hand and requires a dressing change b) A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin c) An adolescent who has sickle cell anemia and slurred speech d) An adolescent who is skin traction and reports a pain level of 7 on a scale from 0 to 10 Rationale: Slurred speech is a symptom of a stroke, which makes it a priority. All the other answers are not as important. 15. A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider? a) Unable to hold a bottle b) Absent grasp reflex c) Exhibits head lag when pulled to a sitting position d) Unable to roll from back to abdomen Rationale: ATI pg.15 AT 6 months patient starts holding the bottle. At 2 months the grasp reflex starts fading. 3 months old; slight head lag. No head lag by 4 months. At 5 months baby starts to roll from front to back. At 6 months baby can roll from back to front. 16. A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? a) Inspect for fluid leaking from the ears b) Assess respiratory status c) Check pupil reactions d) Examine the scalp for lacerations Rationale: assessment of head injury pt should include airway, cervical spine protection, breathing, circulation and hemorrhage control 17. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? a) “A nurse will insert an IV prior to the test” b) “Your baby will need to fast for 8 hours prior to the test” c) “The test will measure the amount of chloride in tour baby’s sweat” d) “We will measure the amount of protein in your baby’s urine over 24 hour period” Rationale: pilocarpine iontophoresis testing or sweat chloride test measures sweat chloride concentration for diagnosis. 18. A nurse is planning care for 6-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care? a) Pad the side rails of the crib b) Provide frequent range of motion to the neck and shoulders c) Keep the television on in the room to provide background noise d) Place the infant in a semiprivate room Rationale: ATI (p.60) Implement seizure precautions. Position patient in a side-lying position to reduce neck discomfort. (I’m assuming that the pt shouldn’t do ROM to the neck). Patient shouldbe in a quiet environment and we should minimize exposure to bright light. Patient should be in droplet precautions and requires a private room or in a room with clients who have an infection from the same microorganism. 19. A nurse is preparing to administer immunizations to a 3-month-old-infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? a) Provide a pacifier coated with an oral sucrose solution prior to the injections b) Use a 20-gauge needle for injections c) Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections d) Inject the immunizations into the deltoid muscle Rationale: Rationale: ATI (p.231) Strategies to minimize discomfort prior to immunizations include; Provide distraction, apply a topical anesthetic prior to injection, give infants a concentrated oral sucrose solution 2 min prior to, during and 3 min after immunizations, use anon-nutritive sucking pacifiers 20. A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescription for Pavlik harness. Which of the following statements by the parents indicated an understanding of the teaching? a) “We will apply lotion to the skin under the straps” b) “We should adjust the straps daily” c) “We will place the diaper under the straps” d) “We should expect our baby to wear this harness for 2 weeks” Rationale: To prevent soiling the harness, the parent should apply the infant’s diaper under the straps 21. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catherization. Which of the following information should the nurse include in the teaching? a) “You will need to keep your leg straight for 8 hours following the procedure” b) “You will be on bed rest for 2 days after the procedure” c) “You will have your dressing removed 12 hours after the procedure” d) “You will be on a clear liquid diet for 24 hours following the procedure” Rationale: prevent bleeding by maintaining the effected extremity in a straight position for 4 to 8hrs 22. A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider? a) Pulse rate 98/min b) Respiratory rate 26/min c) Blood pressure 118/74 mmHg d) Temperature 37.2 C (99F) 23. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply) a) Partial thromboplastin time (PTT) b) C-reactive protein (CRP) c) Antistreptolysin O (ASO) titer d) Erythrocyte sedimentation rate (ESR) e) Blood urea nitrogen (BUN) 24. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? a) Increased appetite b) Enlarged subclavicular lymph node c) Crying d) Fever e) Restlessness Rationale: Acute Otitis Media expected findings: recent history of upper resp infection, changes in behavior, frequent crying, irritability, and fussiness, inconsolability, tugging at ear, turning head from side to side, reports of ear pain, loss of appetite, nausea, and vomiting, fever, lymphadenopathy of the neck and head 25. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? a) Initiate contact precautions for the child b) Maintain a patent intravenous catheter c) Encourage frequent physical activity to increase bone mass d) Provide a high-calorie, low-protein diet No rationale online: On the ATI book it doesn’t say anything about isolating the pt. ATI (p.173)Administer IV antibiotics so I assumed that we need to maintain a patent IV catheter. Limit movement of the affected limb and avoid bearing any weight until cleared by the provider. Immobilize and elevate extremity to reduce inflammation. Ensure proper nutrition. I would thinkthat they need to have a high protein diet to help with the healing not a low-protein diet. 26. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? a) Hypothermia b) Ataxia c) Hyperactive reflexes d) Pinpoint pupils No rationale: found on quizlet 27. A nurse is planning care for a school-age child who was admitted from the emergency department 2 hrs ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a) Follow the child’s home sleep routine to reduce anxiety b) Allow the child to adjust their bedtime to promote autonomy c) Leave the lights on in the child’s room to promote safety d) Provide the child with video games prior to bedtime to reduce stress Rationale: Not online. It’s the only answer that made sense 28. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? a) Capillary refill for 2 seconds b) Increased urine output c) Increased respiratory rate d) Hypertension 29. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take? a) Place a snug-fitting diaper over the drainage bag b) Stretch the perineum taut when applying the bag c) Apply lidocaine gel to the perineum before attaching the bag d) Position the opening of the bag over the urethra and the Rationale: Stretch perineum taut when applying the bag because it prevents risk of spillage and a clearview to urethral meatus. 30. A nurse in the emergency department assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first? a) Administer an antibiotic to the toddler b) Prepare the toddler for nasotracheal intubation c) Obtain a blood culture from the toddler d) Insert an IV catheter for the toddler Rationale: Always follow ABC’s. Airway is a priority; the others are not 31. A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include? a) Administer aspirin for fever b) Assess the oral cavity for kolpik spots c) Provide the child with a warm blanket d) Initiate airborne precautions Rationale: Varicella (Chickenpoc) is a highly contagious disease. Airborne precautions are required. You should administer an antipyretic for fever. Do not administer aspirin, due to the risk of Reye’s syndrome. Koplik spots are seen in a patient with measles not in a patient who has varicella. You should keep the child cool, but prevent chilling. Dress the child in light weightloose clothing. Give baths in tepid water. 32. A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching? a) Provide for periods of rest b) Weigh the child once each month c) Withhold digoxin if the child’s pulse is greater than 100/min d) Increase the child’s oxygen flow rate until the child no longer has cyanosis Rationale: Rationale: ATI (p. 117) Conserve the child’s energy by providing frequent rest periods. Pt should be weighed daily not once a month. In children the medication should be withheld if the pulse is less than 70/min, and in an infant if it’s less than 90/min. Provide cool, humidified oxygen via an oxygen hood(tent), mask, or nasal cannula. Keep crying to a minimumin cyanotic children. 33. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a) Set the administration rate on the feeding pump b) Attach the feeding bag tubing to the end of the NG tube c) Check the pH of the gastric secretions d) Flush the tube with water Rationale: You check for tube placement first before flushing tube with 30mL. You then attachfeeding administration set to feeding tube. Set administration rate. EASY QUESTION 34. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? a) Minimize movement of the limbs b) Place the child in a prone position c) Insert a tounge blade between the teeth d) Clear the area of hard objects Rationale: During a seizure you should protect the child from injury. Do not attempt to restrainthe child. Do not attempt to open the jaw or insert an airway. Do not put anything in the child’smouth. Pad side rails, keep bed free of objects that could cause injury. Have suction and oxygen available. Turn child to a side-lying position to decrease risk of aspiration. 35. A nurse in a provider’s office is preparing to administer immunizations to a 12-year-old- client during a well-child visit. Which of the following immunizations should the nurse plan to administer? a) Varicella b) Human papillomavirus (HPV) c) Hepatitis A d) Diphtheria, tetanus, and pertussis (DTaP) Rationale: ATI (p.30) Immunizations for ages 11 to 12 years: tetanus, diphtheria toxoids, pertussis vaccine (Tdap), Human Papillomavirus Vaccine (HPV), Meningococcal vaccine If not given by 4 and 5 years of age they should receive these vaccines at 6 yrs old: (DTAP)DON”T GET IT CONFUSED WITH (Tdap)!!!. Seasonal influenza, 36. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a) An increase in potassium levels b) A decrease in cardiac output c) An increase in venous pressure d) A decrease in peripheral edema Rationale: Furosemide is given to help treat fluid retention (edema) and swelling in patients withheart failure. All the other answers are wrong. Furosemide causes a decrease in potassium levels and a decrease in venous pressure. It may help increase cardiac output as well. 37. A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? a) “Consume 1,500 to 1,700 calories per day” b) “Limit your sodium intake 3,000 milligrams per day” c) “Decrease your vitamin D intake once you start to menstruate” d) “Increase the amount of your dietary iron intake” Rationale: Adolescence is a time of increased iron needs because of the expansion of bloodvolume and increases in muscle mass. Young women are at a particular risk for the development of iron deficiency due to menstrual blood loss. 38. A nurse in the emergency department is caring for a child who has a temperature of 39.1C (102.4F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first? a) Prepare the child for lumbar puncture b) Administer an antipyretic to the child c) Implement droplet precautions for the child d) Dim the lights in the child’s room Rationale: All of them are actions a nurse should take when taking care of a patient with bacterial meningitis. However, implementing droplet precautions for the child should be the first action a nurseshould take. 39. A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include? a) Apply cold compresses to painful areas b) Have the child wear a surgical mask to school c) Limit fluids at bedtime d) Encourage physical activity as tolerated Rationale: ATI (pg.127) [You should apply warm packs to painful areas. Provide intense hydration therapy. Promote rest and provide adequate nutrition for the child. Observe for manifestation of crisis and infection. Prevent infection.] (the only answer choice that made sense was b). Having the child wear a surgical mask to school is important because they are more susceptible to infections. 40. A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage? a) Blood pressure 95/56 mmHg b) Heart rate 54/min c) Continuous swallowing d) Flushing of the face Rationale: ATI (p.92) Signs of hemorrhage; frequent swallowing, clearing the throat, restlessness, bright red emesis, tachycardia, pallor, and hypotension is a late manifestation of shock 41. A nurse is assessing a school-age child’s cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve? a) Show their teeth while smiling b) Shrug their shoulders against mild pressure c) Follow a light in the six cardinal positions d) Move their tongue in all directions Rationale: The accessory nerve is Cranial Nerve XI. 42. A nurse in an urgent care clinic is prioritizing for four children. Which of the following children should the nurse assess first? a) A preschool-age child who has a muffled voice and no spontaneous cough b) A toddler who has nephrotic syndrome and facial edema c) A school-age child who has diabetes mellitus and a blood glucose of 200g/dL d) An adolescent who has crohn’s disease and a recent weight loss of 5kg (11lbs) Rationale: on quizlet 43. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse. a) Bruising around the wrists b) Front deciduous teeth missing c) Weight in 45th percentile d) Abrasion on the knees Rationale: Physical abuse is identified by bruising. Front deciduous teeth fall out at about age 6 latest age 7. Weight in 45% percentile in a 7-year-old is a sign of physical neglect. Scrapes, arecommon on the knees, elbows and palms at this age. 44. A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? Select all that apply a) Place the infant in supine position b) Check for residual volumes by aspirating stomach contents c) Heat the formula to 39C (102F) prior to administration d) Instill the formula over a period of 30 to 45 min e) Offer the infant a pacifier during feedings No rationale online 45. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? a) Creatinine 1.4mg/dL b) Creatinine 0.3mg/dL c) BUN 12mg/dL d) BUN 6mg/dL Rationale: When giving gentamicin you have to watch out for signs of nephrotoxicity. High creatinine levels can indicate kidney damage. I’m not sure if there is more than one answerbecause letter C and D are abnormal values as well. 46. A nurse is assessing an infant who has intussusceptions. Which of the following findings should the nurse expect? a) Board-like abdomen b) Sausage-shaped abdominal mass c) Increased urinary output d) Constipation Rationale: ATI(p.145) Expected findings of intussusceptions: sudden episodic abdominal pain, screaming with drawing knees to chest during episodes of pain, abdominal mass (sausage- shaped), stools mixed with blood and mucus that resembles the consistency of red currant jelly,vomiting, fever, tender distended abdomen. 47. The nurse is teaching a group of female adolescents about health eating. Which of the following instructions should the nurse include in the teaching? a) “consume 1,500 to 1,700 calories per day” b) “Limit tour sodium intake to 3,000 milligrams per day” c) Decrease your vitamin D intake once you start to menstruate” d) “increase the amount of your dietary iron intake” Rationale: Adolescence is a time of increased iron needs because of the expansion of bloodvolume and increases in muscle mass. Young women are at a particular risk for the development of iron deficiency due to menstrual blood loss. 48. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching? a) Wash the child’s hair with shampoo containing ketoconazole b) Treat everyone who came into close contact with the child c) Soak combs and brushed in boiling water for 10 min d) Apply petroleum jelly to the affected areas Rationale: Scabies is a contagious skin infection caused by a mite called sarcoptes scabiei. 49. A nurse is proving teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? Apply bactericidal ointment to lesions 50. A nurse is caring for a preschooler who refused to take a stat dose of oral diphenhydramine which of the following statements should the nurse make? a) The medication isnt bad it tastes like candy b) Let me know when you want to take the medication c) The medication will treat your hypersensitivity reaction 51. A nurse is caring for a school-age child following the application of a cast to a fractured right tibia. Which of the following actions should the nurse take first? a) Administer Pain medication b) Petal the edges of the cast c) Elevate the child’s leg d) Teach the child about cast care 52. A nurse is preparing a school age child for an invasive procedure which of the following action should the nurse plan to take? a) Demonstrate deep breathing and counting exercises b) Use vogue language to describe the procedure c) Explain the procedure to the child when they are in the playroom d) Plan for a 30-minute teaching session about the procedure 53. A nurse is planning care of a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? a) Cleanse the gums with saline soaked gauze 54. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having therapeutic effect? a) Increased blood pressure b) Bradycardia c) Relaxed facial expression d) Limb withdrawal 55. A nurse is caring for a 3 month old infant who has cleft of the soft palate. Which og the following actions should the nurse take? a) Elevate the infants head to a 10 degree angle during feedings b) Feed the infant 177.4mL (6oz) of formula three time each day c) Discontinue feeding if the infants’ eyes become watery d) Postpone burping the infant until after completing each feeding Rationale: Chegg. As 3 months infant have cleft of soft palate, so the infant has more chance of suffering choking or aspiration 56. A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? a) Jaundice b) Hyperpyrexia c) Neck vein distention d) Polyuria Rationale: quizlet 57. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old infant. Which of the following actions should the nurse take? a) Use a 24-gauge catheter to start the IV 58. A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first? a) Place the child on droplet precautions 59. A nurse is discussing coping mechanisms with a parent of a 3-month old infant. Which of the following therapeutic questions should the nurse ask the parent? a) “What do you do when your infant is fussy?” 60. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. Which of the following responses by the parent indicates an understanding of the teaching? a) I should apply a 10 SPF sunscreen to my child’s entire body b) I should dress my child in loose-weave clothing c) My child should remain under a beach umbrella during morning hours d) My child should wear a wide-brimmed hat Rationale: quizlet 61. A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatment. The nurse should identify which of the following findings as an indication that the therapy has been effective? a) Increased heart rate b) Reduced pain c) Increased urine output d) Increased expectoration 62. A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler? a. check the toddler’s ID band against the medical record b. check the toddler’s room number against their ID band c. Ask the parent to confirm the toddler’s identity d. Ask another nurse to confirm the toddler’s identity Rationale: Chegg 63. A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS). Which of the following actions should the nurse take? a) Discourage the parent form allowing siblings to view the body b) Provide a follow-up phone call 1 week following the infant’s death c) Acknowledge the family members’ feelings of guilt d) Avoid discussing details of the attempt to revive the infant 64. A nurse is reviewing laboratory results of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect? a) Hyperactive bowel sounds b) Oliguria c) Hyporeflexia d) Hypertension 65. A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? a) Rhinorrhea b) Coughing c) Tachypnea d) Pharngitis 66. A nurse is assessing a toddler who has cystic fibrosis . Which of the following findings should the nurse expect? a) Steatorrhea b) Weight gain c) Rhinorrhea d) Visible peristalsis Rationale: quizlet 67. A nurse in the pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity? a. polyuria b. Bradycardia c. Jaundice d. Diaphoresis