the nurse is planning care for a hospitalized preschool aged child which should the nurse plan to ensure atraumatic care

ATI RN

Nursing Care of Children Final ATI

1. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care?

A. Limit explanation of procedures because the child is preschool-aged
B. Ask that all family members leave the room when performing procedures
C. Allow the child to choose the type of juice to drink with the administration of oral medications
D. Explain that EMLA cream cannot be used for the morning lab draw because there is not time for it to be effective

Correct answer: C

Rationale: Allowing the child to make choices, such as selecting the type of juice, helps to maintain a sense of control and reduce anxiety, ensuring atraumatic care.

2. What organism is a parasite that causes acute diarrhea?

A. Shigella organisms
B. Salmonella organisms
C. Giardia lamblia
D. Escherichia coli

Correct answer: C

Rationale: Giardia lamblia is a protozoan parasite known to cause acute diarrhea, often through contaminated water or food. Shigella, Salmonella, and E. coli are bacterial pathogens that also cause diarrhea but are not parasites.

3. The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her?

A. Fluids in addition to breast milk are not needed.
B. Water should be given if the infant seems to nurse longer than usual.
C. Clear juices are better than water to promote adequate fluid intake.
D. Water once or twice a day will make up for losses resulting from environmental temperature.

Correct answer: A

Rationale: Breast milk provides adequate hydration, even in warm weather, so additional fluids like water are not necessary and can interfere with breastfeeding.

4. The parents of a newborn with an umbilical hernia ask about treatment options. The nurse's response should be based on which knowledge?

A. Surgery is recommended as soon as possible.
B. The defect usually resolves spontaneously by 3 to 5 years of age.
C. Aggressive treatment is necessary to reduce its high mortality.
D. Taping the abdomen to flatten the protrusion is not recommended.

Correct answer: B

Rationale: The correct answer is B. Most umbilical hernias in newborns resolve on their own by 3 to 5 years of age without the need for surgical intervention, unless complications arise. Surgery is not typically recommended for umbilical hernias in newborns due to the high rate of spontaneous resolution. Aggressive treatment is not necessary as umbilical hernias are typically benign and not associated with high mortality. Taping the abdomen is not recommended as it can cause skin irritation and does not speed up the resolution of the hernia.