the nurse is caring for a child with suspected ingestion of some type of poison what action should the nurse take next after initiating cardiopulmonar
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Nursing Elites

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. The nurse is caring for a child with suspected ingestion of some type of poison. What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?

Correct answer: D

Rationale: After ensuring the child's immediate survival needs are met with CPR, contacting poison control is critical to receive specific guidance on how to proceed with treatment. Other actions may be necessary depending on the situation but should follow contacting poison control.

2. What should the nurse include in the discharge instructions for the parents of an infant diagnosed with acute otitis media?

Correct answer: D

Rationale: Acetaminophen (Tylenol) is recommended to help relieve the discomfort associated with acute otitis media, such as pain and fever. Elevating the baby's head during sleep can also help with drainage and relieve pressure, making choice A incorrect. Administering an antibiotic may be necessary for bacterial otitis media but is not usually the first-line treatment for acute otitis media, so choice B is incorrect. Placing the baby to sleep with a bottle can increase the risk of ear infections due to the pooling of milk around the Eustachian tube, so choice C is incorrect.

3. How is family systems theory best described?

Correct answer: D

Rationale: Family systems theory views the family as a whole, where changes in one member affect the entire system, and changes can occur at any point within the system.

4. A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?

Correct answer: C

Rationale: The correct answer is C: Cigarette smoking. Discussing sensitive topics like cigarette smoking in the presence of a parent may inhibit the teenager's willingness to be open and honest. It's important to provide an opportunity for the teenager to speak privately with the healthcare provider. Choices A, B, and D are more general topics that can be discussed openly in front of the parent without compromising the teenager's privacy or comfort.

5. Which condition is characterized by a harsh, barking cough in children?

Correct answer: C

Rationale: Croup is the correct answer. It is characterized by a harsh, barking cough due to inflammation of the upper airways, specifically the larynx and trachea. Asthma (Choice A) often presents with wheezing and shortness of breath, not a barking cough. Bronchiolitis (Choice B) typically causes wheezing and respiratory distress in infants. Pneumonia (Choice D) manifests with symptoms such as fever, productive cough, and chest pain, but not usually a barking cough.

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