Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?- Skildor

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RN Pediatric Nursing 2023 ATI Questions

Question 1 of 5

Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?

A. Bloody urine B. One void since returning from surgery C. Bladder spasms responding to pharmacologic intervention D. Double diapering from the previous shift

Correct Answer: B

Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.

Question 2 of 5

What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

A. Assist the child in minimizing body movements. B. Change the child's position frequently. C. Maintain the child's bed flat. D. Keep edematous areas moist and covered.

Correct Answer: B

Rationale: Changing the child's position frequently is essential for preventing respiratory tract infections and reducing pressure on delicate skin, which are common risks for edematous children with reduced mobility due to nephrotic syndrome. This intervention helps promote circulation and prevents complications associated with prolonged immobility.

Question 3 of 5

During a physical assessment of a hospitalized 5-year-old child, the healthcare provider notes that the foreskin has been retracted and is very tight on the shaft of the penis; they are unable to return it over the head of the penis. What action should the healthcare provider implement?

A. Forcibly push the foreskin down over the head of the penis. B. Place a warm compress on the penis. C. Notify the healthcare provider in charge. D. Wait a few hours and try again.

Correct Answer: C

Rationale: The correct action is to notify the healthcare provider in charge of this occurrence of paraphimosis. Paraphimosis is a urologic emergency where the foreskin is retracted and becomes tight, potentially impeding blood flow to the penis. It is crucial to seek medical intervention promptly to prevent complications.

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

At what age may an infant close their eyes to bright lights and show improved head control?

A. 30-33 weeks after conception B. 34-36 weeks after conception C. Less than 30 weeks after conception D. 37-40 weeks after conception

Correct Answer: A

Rationale: Around 30-33 weeks after conception, infants usually start closing their eyes in response to bright lights and exhibit enhanced head control. This developmental milestone indicates progress in their visual and motor abilities, reflecting the maturation of their neurological system. As preterm infants continue to grow and develop, they gradually acquire these skills, showcasing the natural progression of their sensory and motor functions.

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