what is most important in the management of cellulitis

ATI RN

Nursing Care of Children ATI

1. What is most important in the management of cellulitis?

A. Burow solution compresses
B. Oral or parenteral antibiotics
C. Topical application of an antibiotic
D. Incision and drainage of severe lesions

Correct answer: B

Rationale: Oral or parenteral antibiotics are essential in treating cellulitis to eliminate the infection. Topical antibiotics are not sufficient, and incision and drainage are only for abscesses.

2. Congenital defects of the genitourinary tract, such as hypospadias, are usually repaired as early as possible to accomplish what?

A. Minimize separation anxiety
B. Prevent urinary complications.
C. Increase acceptance of hospitalization.
D. Promote development of normal body image.

Correct answer: D

Rationale: Early repair of congenital genitourinary defects like hypospadias is important to promote a normal body image and avoid psychological issues as the child grows. It also helps prevent urinary complications and allows for normal development.

3. Which are included in the evaluation step of the nursing process? (Select all that apply.)

A. All below
B. Ascertaining if the plan requires modification
C. Determination if the outcome has been met
D. Selecting alternative interventions if the outcome has not been met

Correct answer: A

Rationale: The evaluation step involves determining if outcomes are met, modifying the plan if needed, and selecting alternative interventions if goals are not achieved.

4. Which medication should the nurse expect to administer to a child with an acute sickle cell pain crisis?

A. Meperidine (Demerol)
B. Morphine
C. Acetaminophen (Tylenol)
D. Ibuprofen (Motrin)

Correct answer: B

Rationale: In the management of acute sickle cell pain crisis in children, morphine is the preferred medication due to its effectiveness in providing pain relief. Meperidine (Demerol) is less commonly used in this scenario because of its potential for neurotoxicity with repeated doses. Acetaminophen (Tylenol) and Ibuprofen (Motrin) are not typically sufficient for managing the severe pain associated with sickle cell crises and are not the first-line treatment options.

5. What is the typical presentation of pyloric stenosis in infants?

A. Bilious vomiting
B. Projectile vomiting
C. Blood in stools
D. Failure to thrive

Correct answer: B

Rationale: The correct answer is B: Projectile vomiting. Pyloric stenosis in infants typically presents with projectile vomiting, which is forceful and projective in nature. This occurs due to the obstruction at the pylorus, leading to the stomach being unable to empty properly. Choices A, C, and D are incorrect. Bilious vomiting is more commonly associated with intestinal obstruction, blood in stools can occur in conditions such as necrotizing enterocolitis or allergic colitis, and failure to thrive is a nonspecific finding that can be seen in various pediatric conditions.