ATI Capstone- Nursing Care of Children
Terms in this set (48)
A home health nurse is Apply suction for less than 10 seconds;
teaching a child's parents
about endotracheal Prolonged suctioning can cause damage to tissues and
suctioning. Which of the induce hypoxia. Hypoxia can interfere with stages of
following information respiration, cellular absorption, and blood transport.
should the nurse include in
the teaching?
Apply suction when
inserting the catheter.
Apply suction for less than
10 seconds.
Set the suction pressure to
110 mm Hg.
Allow the child to rest for 10
to 15 seconds after each
suctioning attempt.
,A nurse in an Emergency Body weight;
department is caring for an
infant who has a 2-day Body weight is the most reliable indicator of fluid loss for
history of vomiting and an infants and young children.
elevated temperature.
Which of the following
should the nurse recognize
as the most reliable
indicator of fluid loss?
Body weight
Skin integrity
Blood pressure
Respiratory rate
Albuterol;
A nurse int he emergency
department is caring for a
Albuterol is considered a "rescue" medication due to its
child who is experiencing
rapid onset of action. Asthma is a chronic inflammatory
an acute asthma attack,
disorder of the airways. Asthmatic episodes are
which of the following
associated with airflow limitation or reversible
medications should the
obstruction. Albuterol is a beta2 adrenergic agonist used
nurse expect to administer
for the treatment of acute exacerbations of asthma by
first?
promoting bronchodilation and suppressing histamine
release in the lungs. This medication can be given by
Fluticasone
inhalation, orally, or as a parenteral preparation. The
Budesonide
inhaled medication has a more rapid onset of action than
Montelukast
the oral form and also reduces the risk for the adverse
Albuterol
effects of irritability, tremor, nervousness, and insomnia.
,A nurse is assessing a 3- Inability to raise head when in prone position;
month-old infant. Which of
the following findings A 3-month-old infant should be able to raise her head
should the nurse report to and shoulders from prone position; therefore, the nurse
the provider? should report this finding to the provider.
Inability to raise head when
in prone position
Inability to sit without
support
Inability to pick up an
object with her fingers
Inability to bring an object
to her mouth
The nurse is assessing a 3- Stands on one foot for a few seconds;
year-old child at a routine
wellness checkup. Which of The nurse should expect a 3 year-old-child to be able to
the following findings stand on one foot for a few seconds, ascend stairs on
should the nurse expect? alternate feet, and jump off of the bottom step.
Skips and hops on one foot
Has a vocabulary of 1,500
words
Walks backwards heel to
toe
Stands on one foot for a
few seconds
, A nurse is assessing a 4- Child can build a tower using 10 cubes;
year-old child at a well-
child visit. Which of the Building a tower using 10 cubes is an expected finding
following developmental for a preschooler. This is part of fine motor development
milestones should the nurse during the preschool years.
expect to observe?
Child can build a tower
using 10 cubes
Parent reports their child is
very dependent
Child speaks a vocabulary
of 300 words
Parent reports their child
displays temper tantrums
A nurse is assessing a 12 Weight is double the birth weight;
month old during a well
child visit. Which of the The nurse should report this finding to the provider. The
following findings should weight should have tripled from the birth weight by the
the nurse report to the time the infant reaches 1 year of age.
provider?
Absent Babinski reflex
Weight is double the birth
weight
Walks only if holding onto
furniture
Vocabulary consists of 3 to
5 words
Terms in this set (48)
A home health nurse is Apply suction for less than 10 seconds;
teaching a child's parents
about endotracheal Prolonged suctioning can cause damage to tissues and
suctioning. Which of the induce hypoxia. Hypoxia can interfere with stages of
following information respiration, cellular absorption, and blood transport.
should the nurse include in
the teaching?
Apply suction when
inserting the catheter.
Apply suction for less than
10 seconds.
Set the suction pressure to
110 mm Hg.
Allow the child to rest for 10
to 15 seconds after each
suctioning attempt.
,A nurse in an Emergency Body weight;
department is caring for an
infant who has a 2-day Body weight is the most reliable indicator of fluid loss for
history of vomiting and an infants and young children.
elevated temperature.
Which of the following
should the nurse recognize
as the most reliable
indicator of fluid loss?
Body weight
Skin integrity
Blood pressure
Respiratory rate
Albuterol;
A nurse int he emergency
department is caring for a
Albuterol is considered a "rescue" medication due to its
child who is experiencing
rapid onset of action. Asthma is a chronic inflammatory
an acute asthma attack,
disorder of the airways. Asthmatic episodes are
which of the following
associated with airflow limitation or reversible
medications should the
obstruction. Albuterol is a beta2 adrenergic agonist used
nurse expect to administer
for the treatment of acute exacerbations of asthma by
first?
promoting bronchodilation and suppressing histamine
release in the lungs. This medication can be given by
Fluticasone
inhalation, orally, or as a parenteral preparation. The
Budesonide
inhaled medication has a more rapid onset of action than
Montelukast
the oral form and also reduces the risk for the adverse
Albuterol
effects of irritability, tremor, nervousness, and insomnia.
,A nurse is assessing a 3- Inability to raise head when in prone position;
month-old infant. Which of
the following findings A 3-month-old infant should be able to raise her head
should the nurse report to and shoulders from prone position; therefore, the nurse
the provider? should report this finding to the provider.
Inability to raise head when
in prone position
Inability to sit without
support
Inability to pick up an
object with her fingers
Inability to bring an object
to her mouth
The nurse is assessing a 3- Stands on one foot for a few seconds;
year-old child at a routine
wellness checkup. Which of The nurse should expect a 3 year-old-child to be able to
the following findings stand on one foot for a few seconds, ascend stairs on
should the nurse expect? alternate feet, and jump off of the bottom step.
Skips and hops on one foot
Has a vocabulary of 1,500
words
Walks backwards heel to
toe
Stands on one foot for a
few seconds
, A nurse is assessing a 4- Child can build a tower using 10 cubes;
year-old child at a well-
child visit. Which of the Building a tower using 10 cubes is an expected finding
following developmental for a preschooler. This is part of fine motor development
milestones should the nurse during the preschool years.
expect to observe?
Child can build a tower
using 10 cubes
Parent reports their child is
very dependent
Child speaks a vocabulary
of 300 words
Parent reports their child
displays temper tantrums
A nurse is assessing a 12 Weight is double the birth weight;
month old during a well
child visit. Which of the The nurse should report this finding to the provider. The
following findings should weight should have tripled from the birth weight by the
the nurse report to the time the infant reaches 1 year of age.
provider?
Absent Babinski reflex
Weight is double the birth
weight
Walks only if holding onto
furniture
Vocabulary consists of 3 to
5 words
