the nurse is preparing to give acetaminophen tylenol to a child who has a fever what nursing action is appropriate

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing action is appropriate?

A. Retake the temperature in 15 minutes after giving the Tylenol.
B. Place a warm blanket on the child so chilling does not occur.
C. Check to be sure the Tylenol dose does not exceed 15 mg/kg.
D. Use cold compresses instead of Tylenol to control the fever.

Correct answer: C

Rationale: Ensuring the dose does not exceed 15 mg/kg is critical to avoid overdose and potential liver damage. Retaking the temperature immediately or using cold compresses is not necessary, and placing a warm blanket could exacerbate the fever.

2. Physiological anorexia in toddlerhood occurs because of:

A. Decreased appetite and decreased nutritional need
B. Decreased appetite and increased nutritional need
C. Increased appetite and lack of food preferences
D. Increased appetite and strong food preferences

Correct answer: A

Rationale: Physiological anorexia in toddlers occurs due to a decreased appetite as growth rates slow down. Choice A is correct because it aligns with the concept that toddlers experience a natural decrease in appetite as their growth rate decreases. Choices B, C, and D are incorrect because they suggest increased appetite or other factors not associated with physiological anorexia in toddlerhood.

3. Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl. The nurse answers the parents based on what knowledge?

A. Chromosome analysis will be complete in 7 days.
B. A physical examination will be able to provide a definitive answer.
C. Additional laboratory testing is necessary to assign the correct gender.
D. Gender assignment involves collaboration between the parents and a multidisciplinary team.

Correct answer: D

Rationale: Gender assignment in cases of ambiguous genitalia is a complex process that requires a multidisciplinary approach, including genetic, endocrinological, and psychological evaluations. The decision should be made collaboratively with the parents.

4. Which one of the following strategies might be recommended for an infant with failure to thrive (FTT) to increase caloric intake?

A. Vary the schedule for routine activities on a daily basis.
B. Be persistent through 10 to 15 minutes of food refusal.
C. Avoid solids until after the bottle is well accepted.
D. Use developmental stimulation by a specialist during feedings.

Correct answer: B

Rationale: Being persistent through 10 to 15 minutes of food refusal is recommended to help increase caloric intake in infants with FTT. Establishing a routine and using developmental stimulation can also be helpful, but the priority is ensuring adequate caloric intake.