a nurse is assessing a child who has acute lymphocytic leukemia which of the following findings is the priority for the nurse to report
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Nursing Elites

ATI RN

ATI Pediatrics Proctored Exam 2023

1. A healthcare provider is assessing a child with acute lymphocytic leukemia. Which of the following findings is the priority for the healthcare provider to report?

Correct answer: B

Rationale: The priority finding to report for a child with acute lymphocytic leukemia is petechiae. Petechiae indicate a low platelet count, which increases the risk of bleeding. Therefore, the healthcare provider should promptly report petechiae to initiate appropriate interventions to prevent bleeding complications.

2. The nurse plans to closely monitor for which clinical manifestation after administering furosemide (Lasix)?

Correct answer: C

Rationale: High-ceiling diuretics, such as furosemide, are the most effective diuretic agents. They produce more loss of fluid and electrolytes than any others. A sudden loss of fluid can result in decreased BP. When BP drops, the pulse will probably increase rather than decrease.

3. Which type of food is the most difficult to swallow?

Correct answer: C

Rationale: Chopped meat is the most difficult to swallow as it requires thorough chewing and coordination to avoid swallowing hazards, making it more challenging compared to raw vegetables, strained fruit, and mashed vegetables.

4. A parent of a preschooler is being taught by a nurse about administering ear drops. Which of the following statements by the parent indicates an understanding of the teaching?

Correct answer: D

Rationale: Correct administration of ear drops includes massaging the child's ear after administering the drops to facilitate proper absorption of the medication. This action helps ensure the effectiveness of the treatment. Choices A, B, and C are incorrect. Choice A describes incorrect positioning of the ear canal, choice B mentions incorrect storage of the ear drops, and choice C describes an incorrect technique for administering ear drops.

5. When receiving change-of-shift report for children, which child should the nurse assess first?

Correct answer: A

Rationale: The nurse should assess the toddler with a concussion and an episode of forceful vomiting first when receiving change-of-shift report for children. Forceful vomiting in a toddler with a concussion indicates increased intracranial pressure, requiring immediate assessment and intervention to prevent further complications.

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