Questions & Answers | Real ATI Pediatrics (Peds) Exam (All 70
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Answer: (C ) Spot C is the hot spot of given image (}
The nurse should inspect the inside of the child's mouth
Koplik spots are small, white or bluish-white spots that appear on the inside of the cheeks, usually opposite the
lower molars, in people who have measles. They are a sign of the infection and can be seen one to four days
before the skin rash develops. They are surrounded by a red ring and look like grains of salt. Koplik spots are
very helpful for diagnosing measles, especially when other diseases have similar symptoms.
Answer: (A) Initiate contact isolation precaution
Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection
to other patients and healthcare workers.
, Answer: (A) Clear Urine
Clear urine indicates that the kidneys are effectively filtering
waste and fluid, suggesting treatment effectiveness.
Answer:(C ) Irritability This finding is consistent with both acute laryngotracheobronchitis and
pneumonia, as both conditions can cause discomfort and distress in children.
,Answer: A) You can replace milk with nondairy sources of calcium
People with lactose intolerance can replace milk and dairy products
with nondairy sources of calcium such as calcium-fortified products,
Answer:
Administer folic acid as prescribed:- Folic acid is essential in sickle cell disease management as it helps to
stimulate the production of red blood cells, which can be beneficial during a vaso-occlusive crisis.
Monitor oxygen saturation continuously:- Continuous monitoring of oxygen saturation is crucial because
sickle cell crises can impair oxygen delivery to tissues, and maintaining adequate oxygen levels is important
for managing the crisis.
Instruct the parent to ensure the pneumococcal vaccine is current:- Patients with sickle cell disease are at
higher risk for infections due to compromised spleen function. Ensuring vaccinations are up to date helps
prevent infections that could exacerbate the crisis.
Apply cold compresses to the affected joints:- Cold compresses can help reduce pain and swelling in the
affected joints. This can be an effective non-pharmacological method to alleviate some of the discomfort
associated with vaso-occlusive crises.
Give oral hydroxyurea:- Hydroxyurea is often used in the management of sickle cell disease to reduce the
frequency of vaso-occlusive crises and to lower the number of painful episodes. It helps by increasing fetal
hemoglobin levels, which can improve overall red blood cell quality.
, Answer: (B) Frequent Negative responses
Frequent negative responses: Toddlers are known for their frequent
negative responses, often referred to as the "terrible twos." This behavior is
a normal part of their development as they assert their independence and
test boundaries. It is a way for them to express their growing sense of self
and autonomy.
Answer: (D) Monitor your child for indications of infection
Monitoring the child for indications of infection is crucial when taking
prednisone, as corticosteroids can suppress the immune system and increase
susceptibility to infections. This statement addresses an important aspect of
medication safety and is the priority in discharge teaching.