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ATI- Nursing Care of Children
A nurse is caring for a child who has influenza. The nurse
should identify that which of the following statements by the
parent indicates the child has increased risk for Reye
syndrome?
a) "I give my child ibuprofen when his muscles are aching."
b) "I am encouraging my child to drink grapefruit juice."
c) "I give my child aspirin to reduce his fever."
d) "I am leaving a humidifier on in my child's room when he
naps." - -Correct answer-Correct:
c) "I give my child aspirin to reduce his fever."
-The administration of aspirin for fever associated with a viral
illness increases the child's risk for Reye syndrome. Reye
syndrome is a metabolic encephalopathy with manifestations
of cerebral edema and fatty changes in the liver.
a) It is appropriate to administer ibuprofen for myalgia in
infants and children who are over the age of 6 months. This
1
, 2
medication does not increase the child's risk for Reye
syndrome.
b) Encouraging the child to drink grapefruit juice increases
fluid and vitamin C intake and does not increase the child's
risk for Reye syndrome.
d) Humidifying the air can help to loosen the child's
congestion and reduce throat discomfort. It does not
increase the child's risk for Reye syndrome.
A nurse is preparing to perform an abdominal assessment on
a child. Identify the sequence the nurse should follow. - -
Correct answer-Inspection
Auscultation
Superficial palpitation
Deep palpitation
-When performing an abdominal assessment on a child, the
nurse should first inspect the abdomen without touching and
observe for anything that could indicate a medical concern.
Because palpation prior to auscultation can alter the bowel
sounds, the nurse should auscultate the abdomen for bowel
sounds next. Then, the nurse should palpate the abdomen
superficially so the child won't tense her abdominal muscles.
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, 3
Finally, the nurse should perform a deep palpation of the
abdomen, making sure to palpate any painful areas last.
A nurse is teaching the mother of a child who has cystic
fibrosis and has a prescription for pancreatic enzymes three
times per day. Which of the following statements indicates
that the mother understands the teaching?
a) "My child will take the enzymes to improve her
metabolism."
b) "My child will take the enzymes following meals."
c)"My child will take the enzymes to help digest the fat in
foods."
d) "My child will take the enzymes 2 hours before meals." - -
Correct answer-Correct:
c)"My child will take the enzymes to help digest the fat in
foods."
-Pancreatic enzymes help the body to digest fat in foods.
a) Pancreatic enzymes improve the digestive system's ability
to breakdown fats; they do not improve metabolism.
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, 4
b) The child should take pancreatic enzymes prior to
ingesting food, not following meals.
d) The child should take pancreatic enzymes immediately
before meals.
A nurse is caring for an adolescent who has spina bifida and is
paralyzed from the waist down. Which of the following
statements by the client should indicate to the nurse a need
for further teaching?
a) "I only need to catheterize myself twice every day."
b) "I carry a water bottle with me because I drink a lot of
water."
c) "I use a suppository every night to have a bowel
movement."
d) "I do wheelchair exercises while watching TV." - -Correct
answer-Correct:
a) "I only need to catheterize myself twice every day."
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ATI- Nursing Care of Children
A nurse is caring for a child who has influenza. The nurse
should identify that which of the following statements by the
parent indicates the child has increased risk for Reye
syndrome?
a) "I give my child ibuprofen when his muscles are aching."
b) "I am encouraging my child to drink grapefruit juice."
c) "I give my child aspirin to reduce his fever."
d) "I am leaving a humidifier on in my child's room when he
naps." - -Correct answer-Correct:
c) "I give my child aspirin to reduce his fever."
-The administration of aspirin for fever associated with a viral
illness increases the child's risk for Reye syndrome. Reye
syndrome is a metabolic encephalopathy with manifestations
of cerebral edema and fatty changes in the liver.
a) It is appropriate to administer ibuprofen for myalgia in
infants and children who are over the age of 6 months. This
1
, 2
medication does not increase the child's risk for Reye
syndrome.
b) Encouraging the child to drink grapefruit juice increases
fluid and vitamin C intake and does not increase the child's
risk for Reye syndrome.
d) Humidifying the air can help to loosen the child's
congestion and reduce throat discomfort. It does not
increase the child's risk for Reye syndrome.
A nurse is preparing to perform an abdominal assessment on
a child. Identify the sequence the nurse should follow. - -
Correct answer-Inspection
Auscultation
Superficial palpitation
Deep palpitation
-When performing an abdominal assessment on a child, the
nurse should first inspect the abdomen without touching and
observe for anything that could indicate a medical concern.
Because palpation prior to auscultation can alter the bowel
sounds, the nurse should auscultate the abdomen for bowel
sounds next. Then, the nurse should palpate the abdomen
superficially so the child won't tense her abdominal muscles.
2
, 3
Finally, the nurse should perform a deep palpation of the
abdomen, making sure to palpate any painful areas last.
A nurse is teaching the mother of a child who has cystic
fibrosis and has a prescription for pancreatic enzymes three
times per day. Which of the following statements indicates
that the mother understands the teaching?
a) "My child will take the enzymes to improve her
metabolism."
b) "My child will take the enzymes following meals."
c)"My child will take the enzymes to help digest the fat in
foods."
d) "My child will take the enzymes 2 hours before meals." - -
Correct answer-Correct:
c)"My child will take the enzymes to help digest the fat in
foods."
-Pancreatic enzymes help the body to digest fat in foods.
a) Pancreatic enzymes improve the digestive system's ability
to breakdown fats; they do not improve metabolism.
3
, 4
b) The child should take pancreatic enzymes prior to
ingesting food, not following meals.
d) The child should take pancreatic enzymes immediately
before meals.
A nurse is caring for an adolescent who has spina bifida and is
paralyzed from the waist down. Which of the following
statements by the client should indicate to the nurse a need
for further teaching?
a) "I only need to catheterize myself twice every day."
b) "I carry a water bottle with me because I drink a lot of
water."
c) "I use a suppository every night to have a bowel
movement."
d) "I do wheelchair exercises while watching TV." - -Correct
answer-Correct:
a) "I only need to catheterize myself twice every day."
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