Nursing Care of Children ATI

Correct Answer: D

Rationale: The priority action for the nurse when the apnea monitor alarm sounds on a neonate is to assess the infant for color and the presence of respirations. This initial assessment helps determine the infant's respiratory status and the need for immediate intervention. Providing tactile stimulation or administering oxygen should only be done after assessing the infant's respiratory status. Investigating possible causes of a false alarm comes after ensuring the infant's well-being through the initial assessment.

Correct Answer: A

Rationale: Encouraging the parent to express their feelings is crucial in providing support and addressing the emotional challenges that colic can present. Reassuring the parent about the temporary nature of colic can also be helpful.

Correct Answer: D

Rationale: The second dose of the hepatitis A vaccine is recommended 6 months after the first dose to ensure full immunity.

Correct Answer: C

Rationale: Breastfed infants may need fluoride supplements starting at 6 months if they are not receiving fluoride from other sources, such as drinking water.

Correct Answer: B

Rationale: The correct answer is B. Acquired aplastic anemia in children is often caused by exposure to certain drugs, such as chloramphenicol or antiepileptics, which can lead to bone marrow failure and a decrease in all types of blood cells. Choices A, C, and D are incorrect because aplastic anemia is not commonly caused by deficient diet, congenital defects, or injury in children.