the nurse is preparing to give acetaminophen tylenol to a child who has a fever what nursing action is appropriate

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. The nurse is preparing to give acetaminophen (Tylenol) to a child who has a fever. What nursing action is appropriate?

A. Retake the temperature in 15 minutes after giving the Tylenol.
B. Place a warm blanket on the child so chilling does not occur.
C. Check to be sure the Tylenol dose does not exceed 15 mg/kg.
D. Use cold compresses instead of Tylenol to control the fever.

Correct answer: C

Rationale: Ensuring the dose does not exceed 15 mg/kg is critical to avoid overdose and potential liver damage. Retaking the temperature immediately or using cold compresses is not necessary, and placing a warm blanket could exacerbate the fever.

2. Why is knowledge of developmental theories useful for the nurse?

A. Allows the nurse to know exactly what to do when caring for pediatric patients
B. Is predictable and aids in controlling the child’s development
C. Is a set of facts that each child follows in a prescribed method
D. Provides a framework to guide the nurse in caring for the patient

Correct answer: D

Rationale: The correct answer is D. Understanding developmental theories helps nurses anticipate and plan appropriate care based on the child’s developmental stage. Choice A is incorrect because developmental theories provide a framework but do not dictate exact actions. Choice B is incorrect as developmental processes are not entirely predictable and are not meant to control a child’s development. Choice C is incorrect as developmental theories are not a strict set of facts that all children follow in a prescribed manner, but rather guidelines for understanding and supporting a child's growth and development.

3. A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation. What should the therapeutic plan initially include?

A. Bowel cleansing
B. Dietary modification
C. Structured toilet training
D. Behavior modification

Correct answer: B

Rationale: Dietary modification is often the first step in managing chronic constipation in children, focusing on increasing fiber and fluid intake. Other interventions like bowel cleansing and toilet training may follow if dietary changes are insufficient.

4. What is the narrowing of the preputial opening of the foreskin called?

A. Chordee
B. Phimosis
C. Epispadias
D. Hypospadias

Correct answer: B

Rationale: Phimosis is the condition where the foreskin cannot be fully retracted over the glans penis due to a narrowing of the preputial opening. Chordee, epispadias, and hypospadias are different conditions involving the penis's structure.

5. In pediatric patients, what is the primary concern with untreated vesicoureteral reflux (VUR)?

A. Recurrent UTIs
B. Chronic renal failure
C. Hypertension
D. Bladder dysfunction

Correct answer: B

Rationale: The primary concern with untreated vesicoureteral reflux (VUR) in pediatric patients is chronic renal failure. Untreated VUR can lead to this complication due to recurrent urinary tract infections and kidney damage. While recurrent UTIs (Choice A) are a common consequence of VUR, the ultimate worry is the development of chronic renal failure. Hypertension (Choice C) may occur as a result of renal damage but is not the primary concern. Bladder dysfunction (Choice D) is not the most significant consequence of untreated VUR in terms of long-term outcomes compared to chronic renal failure.