superficial palpation of the abdomen is often perceived by the child as tickling which measure by the nurse is most likely to minimize this sensation

ATI RN

ATI Nursing Care of Children

1. Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?

A. Palpate another area simultaneously
B. Ask the child not to laugh or move
C. Begin with deeper palpation and gradually progress to superficial palpation
D. Have the child help with palpation by placing his or her hand over the palpating hand

Correct answer: D

Rationale: Allowing the child to place their hand over the nurse's hand helps reduce the tickling sensation and increases the child's comfort during the examination.

2. Rectal temperatures are indicated in which situation?

A. In the newborn period
B. Whenever accuracy is essential
C. Rectal temperatures are never indicated
D. When rapid temperature changes are occurring

Correct answer: B

Rationale: Rectal temperatures provide the most accurate measurement of core body temperature and are therefore indicated when accuracy is essential.

3. What intervention is crucial during a sickle cell crisis in a child?

A. Administer oxygen
B. Apply cold compresses
C. Restrict fluids
D. Encourage bed rest

Correct answer: A

Rationale: Administering oxygen is crucial during a sickle cell crisis in a child as it helps to prevent further sickling of cells. Oxygen therapy can improve oxygen saturation levels, reducing the risk of tissue damage and complications. Applying cold compresses (choice B) is not recommended as it can potentially worsen vaso-occlusive crisis by causing vasoconstriction. Restricting fluids (choice C) is not appropriate as hydration is essential to prevent dehydration and maintain adequate blood flow. Encouraging bed rest (choice D) may be necessary but administering oxygen takes precedence in managing a sickle cell crisis.

4. Which condition is characterized by a 'seal-like' barking cough in children?

A. Croup
B. Asthma
C. Bronchitis
D. Pneumonia

Correct answer: A

Rationale: Croup is the correct answer. Croup is characterized by a 'seal-like' barking cough due to inflammation and narrowing of the upper airways, particularly the larynx and trachea. It is most common in young children and can cause significant respiratory distress, especially at night. Treatment often includes humidified air and corticosteroids. Asthma (choice B) typically presents with wheezing and shortness of breath, not a barking cough. Bronchitis (choice C) is characterized by productive cough with mucus, not a barking cough. Pneumonia (choice D) often presents with fever, productive cough, and chest pain, not a barking cough.