a health care provider prescribes feedings of 1 to 2 oz pedialyte every 3 hours and to advance to 12 strength similac with iron as tolerated postopera

ATI RN

ATI Nursing Care of Children 2019 B

1. A health care provider prescribes feedings of 1 to 2 oz Pedialyte every 3 hours and to advance to 1/2 strength Similac with iron as tolerated postoperatively for an infant who had a pyloromyotomy. The nurse should decide to advance the feeding if which occurs?

A. The infant's IV line has infiltrated.
B. The infant has not voided since surgery.
C. The infant's mother states the infant is tolerating the feeding okay.
D. The infant is taking the Pedialyte without vomiting or distention.

Correct answer: D

Rationale: The decision to advance feedings after a pyloromyotomy is based on the infant's ability to tolerate the current feedings without vomiting or abdominal distention. Ensuring the infant can keep down Pedialyte is the key indicator for moving to the next stage of feeding. Choices A, B, and C are incorrect because they do not directly relate to the infant's ability to tolerate the feeding. An infiltrated IV line, lack of voiding, or the mother's statement do not provide direct information on the infant's tolerance to the feeding, unlike the absence of vomiting and distention.

2. What is the primary treatment goal for a child with juvenile idiopathic arthritis?

A. Pain management
B. Cure of the disease
C. Reduction of joint deformity
D. Physical therapy

Correct answer: A

Rationale: The primary treatment goal for a child with juvenile idiopathic arthritis is pain management. Juvenile idiopathic arthritis is a chronic condition with no known cure, making pain management crucial to improve the quality of life for these children. While reducing joint deformity and physical therapy are important aspects of managing the condition, the primary focus is on alleviating pain and improving function.

3. Which congenital heart defect causes a "boot-shaped" heart on a chest x-ray?

A. Tetralogy of Fallot
B. Coarctation of the aorta
C. Transposition of the great arteries
D. Ventricular septal defect

Correct answer: A

Rationale: The correct answer is A: Tetralogy of Fallot. Tetralogy of Fallot, a congenital heart defect with four distinct abnormalities, often presents with a "boot-shaped" heart on chest x-ray due to right ventricular hypertrophy. This characteristic finding is due to the specific combination of defects in this condition. Coarctation of the aorta (choice B), Transposition of the great arteries (choice C), and Ventricular septal defect (choice D) do not typically result in a "boot-shaped" heart on a chest x-ray like Tetralogy of Fallot does.

4. What do mortality statistics describe?

A. Disease occurring regularly within a geographic location
B. The number of individuals who have died over a specific period
C. The prevalence of specific illness in the population at a particular time
D. Disease occurring in more than the number of expected cases in a community

Correct answer: B

Rationale: Mortality statistics describe the number of individuals who have died over a specific period, providing insight into public health concerns.