A parent of a child with cerebral palsy is being taught about home care by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?- Skildor

Question 1 of 5

A parent of a child with cerebral palsy is being taught about home care by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?

A. I will perform range-of-motion exercises twice a day. B. I will apply a heating pad on my child's legs to reduce spasms. C. I will allow my child to rest in a recliner for 1 hour each day. D. I will use wrist splints to maintain alignment.

Correct Answer: D

Rationale: Using wrist splints can help maintain alignment and prevent contractures in a child with cerebral palsy. This intervention is crucial in managing the condition and supporting the child's mobility and function.

Question 2 of 5

The healthcare provider is providing care to a child who was treated with aspirin during a viral infection. Which clinical manifestations should cause the healthcare provider concern?

A. Nausea, vomiting, and confusion B. Headache, vomiting, and seizures C. Sore throat, moist respirations, and cough D. Fever, rash, and photophobia

Correct Answer: A

Rationale: The symptoms of nausea, vomiting, and confusion are concerning as they are indicative of Reye's syndrome, a rare but serious condition associated with aspirin use in children during viral illnesses. Reye's syndrome can lead to severe complications, including brain and liver damage, hence prompt recognition and management are crucial.

Question 3 of 5

During an assessment, which manifestation should a healthcare provider expect in an infant with pyloric stenosis?

A. Bile-stained vomitus B. Distended abdomen C. Olive-shaped mass in the upper abdomen D. Painless, swollen joints

Correct Answer: C

Rationale: Pyloric stenosis in infants typically presents with an olive-shaped mass in the upper abdomen due to hypertrophy of the pyloric muscle. This mass can often be palpated during an assessment and is a key characteristic of this condition. Bile-stained vomitus may be seen in conditions such as intestinal obstruction; a distended abdomen can be a nonspecific sign of various conditions, and painless, swollen joints are not typically associated with pyloric stenosis.

Question 4 of 5

The healthcare provider is assessing abdominal girth for a pediatric client who presents with abdominal distension. Which nursing action is appropriate?

A. Measuring the girth just below the umbilicus B. Measuring the girth just below the sternum C. Measuring the girth just above the pubic bone D. Measuring the girth around the largest portion of the abdomen

Correct Answer: D

Rationale: Measuring the girth around the largest portion of the abdomen ensures accurate assessment and tracking of abdominal distension. This method provides a more comprehensive measurement and helps healthcare providers monitor changes effectively.

Question 5 of 5

A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg and is estimated to have lost 7% of his normal body weight. The nurse is double-checking the IV rate the healthcare provider prescribed. The formula the healthcare provider used was for maintenance fluids: 1000 mL for 10 kg of body weight plus 50 mL for every kilogram over 10 for 24 hours. Replacement fluid is the percentage of lost body weight � 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid, which hourly IV rate will the nurse implement for 24 hours?

A. 88 mL/hr B. 86 mL/hr C. 81 mL/hr D. 83 mL/hr

Correct Answer: B

Rationale: For 13 kg, the maintenance fluid is 1150 mL (1000 mL for first 10 kg + 3*50 mL for the remaining 3 kg). Replacement fluid is 910 mL (0.07 * 13000 mL). Total fluid is 2060 mL, divided by 24 hours is 86 mL/hr.

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RN Pediatric Nursing 2023 ATI

Skildor

ATI RN