ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A client with autoimmune thrombocytopenia and a platelet count of 8,000/ul develops epistaxis and melena. Treatment with corticosteroids and immunoglobulins has been unsuccessful, and the physician recommends a splenectomy. The client states, "I don't need surgery-this will go away on its own". In considering her response to the client, the nurse must depend on the ethical principle of:
Correct Answer: C
Rationale: The ethical principle most relevant in this situation is autonomy. Autonomy refers to a person's right to make decisions about their own care and treatment. In this case, the client is expressing her wish to avoid surgery and believes her condition will improve on its own. It is important for the nurse to respect the client's autonomy and involve her in the decision-making process regarding her treatment. The nurse should provide information, support, and guidance to help the client make an informed decision that aligns with her values and preferences. While the nurse can provide education and encourage the client to consider the physician's recommendation, ultimately the decision should respect the client's autonomy.
Question 2 of 5
An adult has been stung by a bee and is in anaphylactic shock. An epinephrine (adrenaline) injection has been given. The nurse would expect which the following if the injection has been effective?
Correct Answer: A
Rationale: An epinephrine (adrenaline) injection is the first-line treatment for anaphylaxis, as it helps to relax the muscles in the airway and improve breathing. This results in the client's breathing becoming easier. Epinephrine also acts to increase blood pressure, while angioedema (swelling) and a decreased level of consciousness are not expected effects of an effective epinephrine injection.
Question 3 of 5
On what is successful breastfeeding most dependent?
Correct Answer: C
Rationale: Successful breastfeeding is most dependent on the mother's desire to breastfeed. A mother who is committed and motivated to breastfeed is more likely to overcome any challenges that may arise, such as difficulty latching, low milk supply, or lack of support. The mother's determination and willingness to persevere through any difficulties play a significant role in the success of breastfeeding. Additionally, a positive attitude and mindset can greatly impact the mother's breastfeeding experience and enhance the bond between the mother and baby.
Question 4 of 5
The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the best response?
Correct Answer: D
Rationale: Wilms tumor can grow very quickly, so a lump that was not evident previously may become noticeable in a short period.
Question 5 of 5
The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the best response?
Correct Answer: D
Rationale: Wilms tumor can grow very quickly, so a lump that was not evident previously may become noticeable in a short period.