a nurse is teaching a parent of a child who has attention deficit hyperactivity disorder adhd which of the following instructions should the nurse inc

ATI RN

RN Pediatric Nursing 2023 ATI

1. A parent of a child with attention deficit hyperactivity disorder (ADHD) is being taught by a nurse. Which instruction should the nurse include in the teaching?

A. Administer methylphenidate at bedtime.
B. Increase stimuli in the child's environment.
C. Administer an extra dose of medication if the child is overactive.
D. Maintain a consistent bedtime routine.

Correct answer: D

Rationale: Maintaining a consistent bedtime routine is essential for children with ADHD as it helps in managing their symptoms effectively. Consistency in bedtime routines aids in regulating the child's sleep patterns, promoting better rest, and ultimately improving their behavior and focus during the day.

2. Which statement is true regarding playful children?

A. They exhibit flexible problem-solving.
B. They have low intelligence scores.
C. They need clear rules and directions to succeed.
D. They do not perform well in school.

Correct answer: A

Rationale: The correct statement is that playful children exhibit flexible problem-solving. Playful children often engage in creative and imaginative thinking, allowing them to approach problems in unique ways. This fosters better problem-solving abilities compared to those who may be more rigid in their thinking. Choice B is incorrect as there is no direct correlation between being playful and having low intelligence scores. Choice C is incorrect as playful children may thrive in environments that encourage creativity rather than rigid rules. Choice D is incorrect as being playful does not necessarily equate to poor academic performance.

3. A parent of a school-age child is receiving discharge teaching following a cardiac catheterization. Which of the following instructions should be included by the nurse?

A. Allow the child to bathe 6 hours after the procedure.
B. Keep the child on bed rest for 12 hours.
C. Maintain a pressure dressing on the site for 8 hours.
D. Resume regular activities the day after the procedure.

Correct answer: B

Rationale: The correct instruction that the nurse should include is to keep the child on bed rest for 12 hours following a cardiac catheterization. This is important to prevent bleeding at the insertion site and ensure proper healing. Allowing the child to bathe soon after the procedure, maintaining a pressure dressing for only 8 hours, or resuming regular activities the day after the procedure can increase the risk of complications such as bleeding or infection.

4. A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?

A. Take vital signs.
B. Establish an intravenous line.
C. Perform rapid neurologic assessment.
D. Maintain a patent airway.

Correct answer: D

Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. While taking vital signs, establishing an intravenous line, and performing rapid neurologic assessment are important, maintaining a patent airway takes precedence. Hypoxia can lead to serious complications, making airway management the top priority to ensure the child's safety and prevent further deterioration.

5.

A. 88 mL/hr
B. 86 mL/hr
C. 81 mL/hr
D. 83 mL/hr

Correct answer: B

Rationale: For 13 kg, the maintenance fluid is 1150 mL (1000 mL for first 10 kg + 3*50 mL for the remaining 3 kg). Replacement fluid is 910 mL (0.07 * 13000 mL). Total fluid is 2060 mL, divided by 24 hours is 86 mL/hr.