parents of a hospitalized toddler ask the nurse what is meant by family centered care the nurse should respond with which statement

ATI RN

Nursing Care of Children Final ATI

1. Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?

A. Family-centered care reduces the effect of cultural diversity on the family
B. Family-centered care encourages family dependence on the health care system
C. Family-centered care recognizes that the family is the constant in a child’s life
D. Family-centered care avoids expecting families to be part of the decision-making process

Correct answer: C

Rationale: Family-centered care emphasizes the importance of the family as the constant in a child's life, involving them in all aspects of care and decision-making.

2. The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?

A. Explain the disorder so they can explain it to others.
B. Help parents understand that this is a minor problem.
C. Suggest that parents avoid family and friends until the gender is assigned.
D. Encourage parents not to worry while the tests are being done.

Correct answer: A

Rationale: It is important for the nurse to provide the parents with accurate information so they can confidently explain the situation to others, helping to reduce stress and misinformation. Avoiding family and friends or minimizing the problem is not helpful.

3. A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after the administration of prednisone. The nurse realizes further teaching is required if the parents state what?

A. We will keep our child away from anyone who is ill.
B. We will be sure to administer the prednisone as ordered.
C. We will encourage our child to eat a balanced diet, but we will watch his salt intake.
D. We understand our child will not be able to attend school, so we will arrange for homeschooling.

Correct answer: D

Rationale: Children with MCNS who are in remission can usually attend school and participate in normal activities with precautions to avoid infections. Home schooling may not be necessary, and this indicates a misunderstanding of the condition's management.

4. What intervention is contraindicated in a suspected case of appendicitis?

A. Enemas
B. Palpating the abdomen
C. Administration of antibiotics
D. Administration of antipyretics for fever

Correct answer: A

Rationale: Enemas are contraindicated in cases of suspected appendicitis because they can increase the risk of perforation. The pressure from the enema can exacerbate inflammation and potentially lead to the rupture of the appendix. Palpating the abdomen gently is essential for diagnosing appendicitis, as it helps identify the characteristic signs like rebound tenderness. Antibiotics are commonly used to treat the infection associated with appendicitis, and antipyretics are administered to manage fever, which is a common symptom of the condition. Therefore, enemas are the intervention to avoid in suspected appendicitis cases.