ATI RN Pediatric Nursing Online Practice 2024 B

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. educate the guardian about sweat chloride testing for the toddler and prepare the toddler for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis, as evidenced by reports of recurring respiratory infections, wheezing, coughing, tachypnea, tachycardia, labored respirations, decreased oxygen saturation, nasal congestion, inability to gain weight, loose fatty stool, salty tasting sweat, and hyponatremia. To evaluate the toddler's response to these interventions, the nurse should monitor the toddler's oxygen saturation level and stools. These are parameters that indicate if the toddler is further experiencing respiratory distress, inadequate intake, and dehydration, which can lead to further complications, including pneumothorax, respiratory failure, and failure to thrive A nurse is caring for a school age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? Epinephrine This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta-adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs. Which of the following statements by a guardian indicate that the discharge teaching was effective? Select all that apply "We should apply a skin emollient immediately after bathing our child" is correct. An emollient is an oil that moisturizes the skin and should be appliedimmediately after bathing, while the skin is damp, to prevent drying. Therefore this statement by the guardian indicates the teaching has been effective. "We should keep our child's fingernails trimmed short" is correct. The child's fingernails and toenails should be kept short, trimmed, and filed to prevent scratching with sharp edges. Therefore this statement by the guardian indicates the teaching has been effective. "We should use a mild detergent for our laundry" is correct. The use of mild detergents for laundry helps prevent allergens and itching. Therefore this statement by the guardian indicates the teaching has been effective. A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. Which of the following instructions should the nurse include? "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." The nurse should inform the parent that their child will need pulmonary function tests every 12 to 24 months to evaluate the presence of lung disease and how the child is responding to the current treatment regimen. As children grow, sometimes their manifestations can improve or decline, and treatment needs to change accordingly. A nurse is monitoring oxygen saturation of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? Great Toe The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site frequently for temperature, color, and the presence of a pulse. After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider. Arterial blood gases is correct. The child's arterial blood gases (ABGs) indicate respiratory alkalosis, which is associated with complications of asthma, such ashyperventilation and hypoxia. Therefore, the nurse should report these findings to the provider. WBC count is correct. The child's WBC count is above the expected reference range, which could be an indication of infection or inflammation. Therefore, the nurse should report this finding to the provider. Oxygen saturation level is correct. The child's oxygen saturation level has decreased below the expected reference range despite the use of supplemental oxygen. Therefore, the nurse should report this finding to the provider. Respiratory assessment is correct. The child's respiratory assessment indicates increased respiratory distress, as evidenced by the presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report these findings to the provider. A school nurse is preparing to administer atomoxetine 1.2mg/kg/day PO to a school age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? 1 capsule A nurse is reviewing the lab report of a 7 yr old who is receiving chemotherapy. Which of the following lab values should the nurse report to the provider? Hgb 8.5/dL A child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the blood-forming cells of the bone marrow. The development of anemia is diagnosed through laboratory testing of hemoglobin and hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is below the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and should be reported to the provider.