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Pediatrics (NR328) ATI Nursing Care of Children 2

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John Marsh
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Chamberlain College of Nursing

Pediatrics (NR328)

ATI Nursing Care of Children 2

1. A nurse in an emergency department is caring for a 4-year-old child who has burns to the neck and face following a house fire. Which of the
following actions should the nurse take first?
A. Cover the child’s wounds with a clean, dry cloth.
B. Establish IV access for the child with a large-bore catheter.
C. Provide reassurance to the child’s parents.
D. Determine the child’s breathing pattern.
Determine the child’s breathing pattern.
The nurse should apply the ABC priority setting framework. This framework emphasizes the basic core of human functioning: having an open airway,
being able to breathe in adequate amounts of oxygen, and circulating oxygen to the body’s organs via the blood. An alteration in any of these can
indicate a threat to life, and is therefore the nurse’s priority concern. When applying the ABC priority setting framework, airway is always the highest
priority because the airway must be clear and open for oxygen exchange to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen exchange to occur. Determining the child’s breathing pattern is the
first action the nurse should take. Circulation is the third highest priority in the ABC priority setting framework because delivery of oxygen to critical
organs only occurs if the heart and blood vessels are capable of efficiently carrying oxygen to them.
2. A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which of the following statements by the parent indicates an
understanding of the teaching?

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Pediatrics (NR328) ATI Nursing Care of Children 2

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