ATI 2024 A NGN ANSWERS

After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions? The nurse should identify that the child is at risk for developing SPLENOMEGALY as evidence by POSITIVE MONONUCLEOSIS RAPID TEST A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? Withhold the measles, mumps, and rubella (MMR) vaccine. A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? Turn off IV pump. Occlude the IV tubing. Remove the tape securing the catheter. Apply pressure over the catheter insertion site. Which of the following statements by a guardian indicates that the discharge teaching was effective? "We should apply a skin emollient after bathing our child" "We should keep our child's fingernails short" "We should use a mild detergent for our laundry" After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Arterial blood gases WBC count Oxygen saturation level Respiratory assessment The nurse should identify that which of the following findings require immediate follow-up? Partial- and full-thickness burns to the left upper anterior chest and anterior neck. SaO2 89% on room air. Heart rate 150/min. Which of the following potential prescriptions should the nurse identify as anticipated or contraindicated? Contraindicated: Apply sterile gauze soaked with cool 0.9% sodium chloride to the burn areas. Indicated: Insert indwelling urinary catheter. Provide 100% oxygen via face mask. Weigh the child. After reviewing the child's assessment, which of the following findings should the nurse address first? The nurse should first address the client's TEMPERATURE followed by the client's PAIN After examining the child during hydrotherapy, the provider enters prescriptions into the child's medical record. Anticipated: Change the morphine route to family-controlled analgesia via a PCA pump. Obtain a wound culture. Place the child on a pressure-reduction mattress. Contraindicated: Limit daily protein. The child has returned to the unit following the procedure. Which of the following actions should the nurse take? Provide 100% oxygen via face mask. Check anterior neck and chest dressing for bleeding. Place a warm blanket on the child. Keep the child's head in a neutral position. Select 6 statements by the parent that indicate an understanding of the discharge teaching. "I should apply a moisturizer to the scar tissue" "I will use a measured spoon or medicine cup to give my child hydroxyzine" "I can give my child hydroxyzine every 6 hours as needed" "Puppet play can be helpful for my child" "I need to assess for any redness or open skin areas before applying my child's left arm splint" "My child will need to use a compression garment to decrease blood supply to the scarred tissue"