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Teaching the parents of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. The nurse should identify that which of the following
statements by the parents indicates an understanding of the teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is
discharged. My child needs to be in contact
ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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,ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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isolation.
Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy
for at least 4 weeks. Surgery might be indicated if the antibiotics are not
successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed
in a comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
Weight bearing should be avoided to prevent complications and minimize pain.
Therefore, it will be several weeks to months before the child can play contact
sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable
illness.
A nurse is auscultating the lungs of an adolescent who has asthma. The nurse
ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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,ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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should identify the sound as which of the following? Click the audio button to
listen.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea
Answer- c
The nurse should identify the sound heard during auscultation as tachypnea, which
is a rapid, regular breathing pattern. This breathing pattern often occurs with
anxiety, fever, metabolic acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three shallow
breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.
ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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, ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the priority
action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to
the child Answer- d
ATI RN NURSING CARE OF CHILDREN PROCTORED EXAM
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