ATI Pediatrics Proctored Exam 2023 Quizlet

Correct Answer: D

Rationale: Rheumatic fever can lead to cardiac complications, such as dysrhythmias. Therefore, it is essential for the nurse to monitor the child's heart rate closely for any signs of dysrhythmias. This will help in early identification and prompt management of potential cardiac issues associated with rheumatic fever.

Correct Answer: D

Rationale: The correct instruction to prevent SIDS is to give the infant a pacifier at bedtime. The use of a pacifier while the infant is sleeping is associated with a decreased risk of SIDS. Other recommended preventive measures include placing the infant on their back to sleep, using a firm mattress in the crib, and avoiding soft bedding or pillows.

Correct Answer: A

Rationale: In a child with nephrotic syndrome, the presence of edema is due to fluid retention caused by protein loss in the urine. Prednisone, a corticosteroid, helps reduce inflammation and decrease the loss of protein in the urine, leading to a decrease in edema. Therefore, decreased edema is an indication that the prednisone treatment is effective in managing the nephrotic syndrome.

Correct Answer: B

Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.

Correct Answer: C

Rationale: The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid, regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic acidosis, or severe anemia.