the nurse is providing anticipatory guidance to parents of a 4 month old infant on preventing an aspiration injury what should the nurse include in th

ATI RN

Nursing Care of Children ATI

1. The nurse is providing anticipatory guidance to parents of a 4-month-old infant on preventing an aspiration injury. What should the nurse include in the teaching?

A. Keep baby powder out of reach.
B. Inspect toys for removable parts.
C. Allow the infant to take a bottle to bed.
D. Teething biscuits can be used for teething discomfort.

Correct answer: A

Rationale: Baby powder can be inhaled by the infant and cause respiratory distress. Toys should be inspected to prevent choking hazards. Allowing an infant to take a bottle to bed can increase the risk of aspiration, and hard foods like teething biscuits should be given with caution.

2. Which best describes signs and symptoms as part of a nursing diagnosis?

A. Description of potential risk factors
B. Identification of actual health problems
C. Human response to state of illness or health
D. Cues and clusters derived from patient assessment

Correct answer: D

Rationale: Signs and symptoms are cues and clusters derived from patient assessments that are used to form a nursing diagnosis, guiding the development of a care plan.

3. A parent brings their 4-year-old child for a check-up. Which finding would concern the nurse?

A. Ectomorphic body type
B. Resting pulse rate of 120
C. Weight gain of 5 lb (2.27 kg) in the past year
D. No increase in appetite compared with that in toddler years

Correct answer: B

Rationale: A resting pulse rate of 120 is elevated for a 4-year-old and may indicate an underlying issue that needs further investigation. An ectomorphic body type is a body shape and not typically a cause for concern. Weight gain within normal limits and no significant change in appetite are generally positive findings in a growing child.

4. What should the nurse explain about ringworm?

A. It is not contagious
B. It is a sign of uncleanliness
C. It is expected to resolve spontaneously
D. It is spread by both direct and indirect contact

Correct answer: D

Rationale: Ringworm is a fungal infection that spreads through direct and indirect contact. Good hygiene practices can help prevent its spread.

5. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?

A. The United States is ranked last among 27 countries
B. The United States is ranked similar to 20 other developed countries
C. The United States is ranked in the middle of 20 other developed countries
D. The United States is ranked highest among 27 other industrialized countries

Correct answer: A

Rationale: The United States is ranked last among developed countries with similar populations in terms of infant mortality rates, highlighting a significant public health concern.