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VATI Care of children 2019 Answered; updated Feb 2022, Absolute distinction guide.

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VATI Care of children 2019 Answered A nurse is providing nutritional teaching to the patents of a child who has acute glomerulonephritis with pitting edema. Which of the following foods should the nurse recommend be eliminated from the child's diet? A nurse in an emergency department is assessing a 5-year-old child who has a concussion. Which of the following manifestations should the nurse identify as an early indication of ICP? A nurse is creating a plan of care for a school-age child who has moderate partial thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan? A charge nurse on a pediatric unit is reviewing informed consent guidelines with newly licensed nurse. For which of the following clients should the nurse obtain informed consent from a guardian? A nurse is caring for a child who has terminal leukemia. The parents asks the nurse, "When will we know that our child is nearing the end of their life?" Which of the following statements should the nurse make? A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? A nurse is assessing a 2-year-old child following a surgical procedure. Which of the following pain tools should the nurse use? A nurse is providing discharge teaching to the parents of a school age child who has epilepsy and a new prescription for phenytoin extended release capsules. Which of the following instructions should the nurse include in the teaching? A nurse is caring for a 6 month old infant who has acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication of moderate hypovolemia? A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the following manifestations should the nurse expect? A nurse is providing discharge teaching to the parent of a 5-year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching? A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include? A nurse is planning care for a child who has cerebral palsy and is experiencing muscle spasms. Which of the following medications should the nurse expect to administer? A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statements should the nurse make? A nurse is assessing a 4-year-old child who is 2 days postoperative following insertion of a ventriculoperitoneal shunt. Which of the following findings is the nurse's priority? A nurse on a pediatric unit is admitting a 5-year-old child who has submersion injury and is awake and alert. The parent asks the nurse why the child needs to stay in the facility. Which of the following responses should the nurse make? A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following finding should the nurse expect? A school nurse is providing dietary teaching for an 11-year-old child who has type 1 diabetes mellitus. The nurse should identify which of the following responses by the child indicates an understanding of the teaching? SATA A nurse is teaching an adolescent how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching? A nurse is providing a presentation for parents of a toddler about preventing childhood burns. Which of the following statements by a parent indicates and understanding of the teaching? A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? A nurse is planning care for a school age child who is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take first? A nurse is planning a community education series for teachers of children who have attention-deficit hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching? A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate for the child? A nurse is teaching a group of new parents about expected language development. The nurse should include that a child should begin to speak 10 or more words about which of the following ages? A nurse is providing teaching about home safety to the parents of an infant. Which of the following statements should the nurse make? A nurse is planning care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the nurse's priority? A nurse is teaching a female adolescent who reports frequent urinary tract infections. Which of the following instructions should the nurse include in the teaching? A nurse is caring for a child who has bacterial meningitis. Which of the following actions should the nurse take first? A nurse is preparing to administer erythromycin 50mg/kg/day in divided doses every 6hrs to an adolescent who is postoperative following surgical removal of a peritonsillar abscess and weights 40kg. Available is erythromycin oral solution 200mg/5mL. How many mL should the nurse administer with each dose? A nurse is creating a plan of care for a school age child who is postoperative following a tonsillectomy. Which of the following interventions should the nurse include? A nurse in an emergency department is caring for a child who has ingested kerosene. The child is lethargic, grunting, and gagging. Which of the following actions should the nurse take? A nurse is preparing to obtain a blood sample for an Hgb from a child who has hemophilia. Which of the following actions should the nurse plan to take? A nurse is teaching the parent of a school age child who has cystic fibrosis about home care. Which of the following statements by the parent indicates an understanding of the teaching? A nurse is caring for an infant who has returned to the pediatric unit following surgical repair of a cleft lip. Which of the following actions should the nurse take? A nurse is providing teaching about magnetic resonance imaging (MRI) without contrast to the parent of a child who has cancer. Which of the following statements should the nurse make? A nurse is assessing a toddler. Which of the following findings should the nurse identify as an indication of potential child maltreatment? A nurse in a emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following findings is the priority for the nurse to report to the provider? A nurse is planning care for an infant who has respiratory syncytial virus (RSV) and a respiratory rate of 46/min. Which of the following interventions should the nurse include in the plan of care? A nurse is providing discharge teaching to the parent of a school age child who has juvenile idiopathic arthritis (JIA). The nurse should identify that which of the following responses by the parent indicates an understanding of the teaching? A nurse in the emergency department is caring for a preschool age child who has hemophilia A and sustained an abdominal trauma following a motor vehicle crash. Which of the following actions should the nurse take? SATA A nurse is caring for an infant who has pyloric stenosis and a new prescription for 0.9% sodium chloride with 10mEq of potassium chloride. The infant is lethargic and has a potassium level of 3.5 mEq/L. Which of the following actions should the nurse take? A nurse is assessing a 9-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe fluid volume deficit? A nurse is assessing a 4-month-old infant at a well child visit. Which of the following findings should the nurse expect? A nurse is teaching the parents of an infant how to administer antibiotic eardrops. Which of the following instructions should the nurse include in the teaching? A nurse is planning care for a newly admitted child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan? A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy die to aspiration of a foreign body. Which of the following parents statements indicate understanding of the teaching? A nurse is documenting a male infants weight on a growth chart. The infant is 11months old and weights 11.3KG (24.9lbs). Identify the correct point on the graph where the nurse should plot the infants weight. A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestations indicates a possible brain tumor? SATA A nurse is providing discharge teaching to the parents of a school age child who is immobilized following spinal surgery. Which of the following nutritional recommendations should the nurse include? A nurse is providing pre-procedure teaching to the parents of a preschooler who has nephrotic syndrome and is scheduled for a percutaneous renal biopsy. Which of the following statements should the nurse include? A nurse is reviewing the admission laboratory report of a school age child who has glomerulonephritis. Which of the following laboratory results should the nurse expect to find? A nurse is planning to obtain a rectal temperature from a toddler. Which of the following actions should the nurse take? A nurse is assessing an infant who has Tetralogy of Fallot. Which of the following clinical manifestations should the nurse expect? SATA A nurse is teaching about injury prevention to the parent of a toddler. Which of the following safety measures should the nurse include in the teaching? A nurse is providing teaching about food choices to the parent of a school age child who has celiac disease. Which of the following statements by the parent indicates an understanding of the teaching? A nurse is assessing a child who has full-thickness burns of the legs. Which of the following manifestations should the nurse expect? A nurse is assessing a child who has heart failure. Which of the following clinical manifestations should the nurse expect? A nurse is providing nutritional teaching to the parents of a 2-year-old child. Which of the following statements by the parent indicates an understanding of the teaching? A nurse is planning care for a child who is postoperative following a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care? A nurse is providing teaching about car seat safety to the parents of an infant. Which of the following instructions should the nurse include? A nurse is teaching the guardian of a toddler about foods that will minimize the risk of aspiration. Which of the following foods should the nurse suggest? A nurse is admitting a school age child who has rubeola measles. Which of the following precautions should the nurse plan to initiate? A nurse is admitting a child who has a vesicular rash of unknown etiology. Which of the following actions should the nurse take first? A nurse is providing teaching about preventing diaper dermatitis to a group of guardians. Which of the following instructions should the nurse include in the teaching? A nurse is teaching the guardian of a school age child who has juvenile idiopathic arthritis about managing pain. Which of the following instructions should the nurse include? A nurse is teaching a newly licensed nurse how to provide care for a child who has just been placed in skeletal traction. Which of the following information should the nurse include? A nurse obtains a fingerstick glucose result of 45 mg/dL from a school age child who has diabetes mellitus. Which of the following actions should the nurse take? A nurse is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? A nurse is assessing a preschooler who was recently diagnosed with acute lymphoid leukemia. Which of the following findings should the nurse expect? A nurse is preparing to perform an orogastric feeding for an infant. Which of the following actions should the nurse take to verify tube placement? increases the risk for aspiration. A nurse is caring for an infant who has respiratory syncytial virus (RSV) and is experiencing respiratory distress. Which of the following actions should the nurse take? A nurse is evaluating an adolescent who is postoperative and is receiving fentanyl via an epidural catheter. Which of the following findings should the nurse recognize as a complication? A nurse in a well child clinic is assessing a school age child who has erythema on the face and maculopapular rash on the arms and legs. The parent reports that the child has had an intermittent fever for 1wk. Which of the following actions should the nurse take? A nurse is caring for an infant immediately following surgical repair of a cleft lip. Which of the following actions should the nurse take? A nurse is providing teaching to the guardian of a preschooler who has impetigo. Which of the following instructions should the nurse include? A nurse is providing discharge teaching to the guardian of a preschooler who is receiving rehydration therapy for acute diarrhea. Which of the following dietary recommendations should the nurse make? A nurse is assessing an infant who has a congenital heart defect. Which of the following findings is the priority for the nurse to report to the provider? A nurse is providing discharge teaching to the guardians of a school age child following a tonsillectomy. Which of the following instructions should the nurse include? A nurse is evaluating the effectiveness of a treatment plan for a school age child who has ADHD. Which of the following findings should the nurse identify as an indication that the treatment plan has been effective? A nurse is providing teaching to the parent of an adolescent who has mononucleosis. Which of the following instructions should the nurse include? A nurse is planning care for a toddler following a cardiac catheterization. Which of the following actions should the nurse take?

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VATI Care of children 2019 Answered
A nurse is providing nutritional teaching to the patents of a child who has acute
glomerulonephritis with pitting edema. Which of the following foods should the
nurse recommend be eliminated from the child's diet?
Correct ans- Hot dogs

-Results in edema, HTN, hematuria and proteinuria. Dietary changes requires limit
foods high in sodium because of the edema and HTN. (Hot dogs, or other
processed meats)

A nurse in an emergency department is assessing a 5-year-old child who has a
concussion. Which of the following manifestations should the nurse identify as an
early indication of ICP?
Correct ans- Nausea

-Early findings of ICP

A nurse is creating a plan of care for a school-age child who has moderate partial
thickness burns on both lower extremities. Which of the following interventions
should the nurse include in the plan?
Correct ans- Maintain aseptic technique during the child dressing changes.

-To prevent infection. Delayed wound healing can occur due to infection, which
can also cause partial thickness wounds to develop into full thickness wounds.

A charge nurse on a pediatric unit is reviewing informed consent guidelines with
newly licensed nurse. For which of the following clients should the nurse obtain
informed consent from a guardian?
Correct ans- A 15-year-old client who requires an open reduction of a fracture.

-Sign consent prior to surgical procedures for a minor.

,A nurse is caring for a child who has terminal leukemia. The parents asks the
nurse, "When will we know that our child is nearing the end of their life?" Which
of the following statements should the nurse make?
Correct ans- Your child will lose movement in their legs.

-Lose movement in the lower extremities. This progressive loss of movement will
move up the body as death nears.

A nurse is providing home care instructions to the parents of a child who is in the
edema phase of nephrotic syndrome. Which of the following instructions should
the nurse include in the teaching?
Correct ans- Provide quite activities for the child.

-Provide quite activities, such as reading and coloring, during edema phase of
nephritis to minimize oxygen consumption and preserve energy.

A nurse is assessing a 2-year-old child following a surgical procedure. Which of
the following pain tools should the nurse use?
Correct ans- Face, Legs, Activity, Cry Consolability (FLACC) scale.

-The FLACC scale is used for infants and children from 2 months to 7 years.

A nurse is providing discharge teaching to the parents of a school age child who
has epilepsy and a new prescription for phenytoin extended release capsules.
Which of the following instructions should the nurse include in the teaching?
Correct ans- Encourage the child to brush their teeth after each meal.

- Dental hygiene, this medications can cause gingival hyperplasia, and good oral
hygiene reduces the risk of this occurring.

A nurse is caring for a 6 month old infant who has acute vomiting and diarrhea.
Which of the following manifestations should the nurse identify as an indication of
moderate hypovolemia?
Correct ans- Tachypnea

, -A hypovolemia worsens, breathing becomes hyperpneic.

A nurse is caring for a toddler who is experiencing hyperglycemia. Which of the
following manifestations should the nurse expect?
Correct ans- Lethargic mood.

-Will be irritable and have a labile mood.

A nurse is providing discharge teaching to the parent of a 5-year-old child who has
leukemia and is receiving chemotherapy. Which of the following statements by the
parent indicates an understanding of the teaching?
Correct ans- I will make sure to inspect my son's mouth every day for sores.

-Increase risk for mucositis, therefore, the parent should inspect the mouth daily
for lesions or ulcerations and report these to the provider. Open lesions can become
infected in the child who is immunocompromised.

A home health nurse is developing a plan of care for the parents of a toddler who
has hemophilia A. Which of the following instructions should the nurse include?
Correct ans- Place knee pads on the child.

-Take measures to make the environment safe. This can include measures such as
installing carpet over ceramic tiled floors or placing knee and elbow pads on the
child to protect the Childs joints form injury and bleeding.

A nurse is planning care for a child who has cerebral palsy and is experiencing
muscle spasms. Which of the following medications should the nurse expect to
administer?
Correct ans- Baclofen

-Centrally acting skeletal muscle relaxant that will decrease muscle spasm and
sever spasticity.

A nurse is providing discharge teaching to a group of guardians of infants about
home safety. Which of the following statements should the nurse make?

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