ATI Gastroenteritis And Dehydration (3)

25 July 2022
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question
Nurse Susan is reviewing the isolation prescription for Matthew who has gastroenteritis. Which of the following types of isolation precautions should Susan implement? a. Standard b. Airborne c. Droplet d. Contact
answer
D
question
Nurse Susan Completes the admission assessment of Matthew who has gastroenteritis and dehydration. Which of the following is the priority action based on the assessment? a. Initiate IV access b. Apply diaper rash cream c. Administer an antiemetic d. Administer an antipyretic
answer
A
question
Nurse Susan is caring for Matthew who is to receive IV fluids using an infusion pump with the volume set at 200 mL for 90 minutes. Which of the following is the correct rate of flow for the IV solution? a. 2 mL/hr b. 133 mL/hr c. 200 mL/hr d. 350 mL/hr
answer
B
question
Based on Matthew's laboratory findings and Nurse Susan's assessment, which of the follwoing is the priority action for Susan to take? a. Apply diaper cream to Matthew b. Recheck Matthew's temperature c. Obtain a prescription for potassium d. Re-evaluate Matthew's pain level
answer
C
question
After Dr. Wilson changed Matthew's precriptions, Nurse Susan is preparing to administer IV potassium chloride solution. Which of the following is the correct technique for administering this medication? a. Administer an IV bolus of 5 mEq/L undiluted potassium chloride solution over 3-5 minutes b. Add 5 mEq/L undiluted potassium chloride solution to Matthew's bag of maintainence IV fluid c. Administer an IV bolus of 5 mEq/L diluted potassium chloride solution over 1 hour d. Adminster an IV bolus of 5 mEq/L diluted potassium chloride solution over 24 hours
answer
C
question
Nurse Susan is teaching Matthew's mother about using clotrimazole (Lotrimin) cream to treat diaper rash. Which of the following should she include in the teaching? a. Dry skin thoroughly before applying the medication b. Wear sterile gloves when applying the medication c. Place a thick layer of medication on the affected area twice a day d. Expect results after 14 days of using the medication
answer
A
question
Nurse Susan is choosing age-appropriate toys for Matthew, a 4-year 2-month old, to use during isolation. Which of the following toys are appropriate? (Select all that apply) a. Stuffed plush animal b. Pop-up book c. Paper and crayons d. Plastic toy soldiers e. Large connecting blocks f. Metal tractor
answer
C, D, E, F
question
Nurse Susan notices Matthew's mother is crying. She is a single mother with no family around and Matthew's father is not helping with the care of Matthew. Which of the following statements by Susan is a therapeutic response? a. "Hospitalizations are stressful for single parents. I will stay with Matthew while you take a break." b. "Matthew will get to go home soon. Children with dehydration don't stay in the hospital for long." c. "Having blood drawn hurts, but there are so many other things that are more painful" d. "There are many resources available to you while you are here. We can discuss them if you like."
answer
D
question
Nurse Susan is preparing to administer promethazine (Phenergan). Available is promethazine 25 mg/mL and the desired dose is 7 mg. Which of the following syringe doses represents the correct amount of medication Susan should administer? a. 0.18 mL b. 0.28 mL c. 0.58 mL d. 0.78 mL
answer
B
question
Nurse Susan is preparing to administer promethazine (Phenergan) IM to Matthew. Which of the following is an appropriate site for the injection? a. Deltoid muscle b. Ventrogluteal muscle c. Vastus lateralis muscle d. Rectus femoris muscel
answer
C
question
Nurse Susan reviewed Matthew's preliminary stool culture findings and is preparing to explain the results to Matthew's mother. Which of the following is an accurate statement by Matthew's mother? a. "Matthew will need to take prophylactic antibiotics for 3 months" b. "Matthew's diarrhea will subside in 1 week" c. "Matthew will need to receive an antimotility agent" d. "Matthew will shed the bacteria in 6 months"
answer
B
question
Nurse Susan is preparing to provide discharge instructions to Matthew's mother. Which of the following should Susan include in the teaching?" a. "Matthew should have oral rehydration fluid for 2 days before starting a regular diet" b. "Matthew should eat a BRAT diet until his diarrhea is resolved" c. "Matthew should incorporate oral rehydration fluid with a regular diet" d. "Matthew should start a regular diet upon discharge from the hospital"
answer
C