ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The lowest fasting plasma glucose level suggestive of a diagnosis of diabetes is:
Correct Answer: B
Rationale: A fasting plasma glucose level of 126mg/dl or higher is considered to be indicative of diabetes mellitus. This value represents the threshold for diagnosing diabetes based on fasting glucose levels according to the American Diabetes Association (AD
A) criteria. Fasting glucose levels between 100-125mg/dl indicate impaired fasting glucose, which is a precursor to diabetes.
Therefore, a fasting plasma glucose level of 126mg/dl is the lowest level at which a diagnosis of diabetes can be suggested.
Question 2 of 5
A client is receiving methotrexate (Mexate), 12g/m2 IV to treat osteogenic carcinoma. During methotrexate therapy, the nurse expects the client to receive which other drug to protect normal cells?
Correct Answer: D
Rationale: Leucovorin, also known as folinic acid, is given concurrently with methotrexate therapy to protect normal cells from the toxic effects of methotrexate. Methotrexate is a folate antagonist that affects both cancer cells and normal cells. Leucovorin is a reduced form of folic acid that bypasses the enzyme targeted by methotrexate, allowing normal cells to continue using folate for DNA synthesis. This rescue therapy helps prevent or reduce the side effects of methotrexate, such as mucositis, myelosuppression, and other toxic effects on normal cells. It is important to administer leucovorin at the appropriate times following methotrexate administration to maximize its protective effect while maintaining the efficacy of the chemotherapy.
Question 3 of 5
The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the teaching as successful when the parent states that clubfoot is best treated when?
Correct Answer: A
Rationale: Congenital clubfoot is best treated when started immediately after diagnosis. Early intervention and treatment are crucial for better outcomes in correcting clubfoot deformities. Tendons and ligaments are more flexible in infants, making it easier to manipulate and correct the foot. Starting treatment as early as possible can help prevent long-term complications and improve the child's ability to walk normally. Therapy may involve stretching exercises, casting, or surgery, depending on the severity of the condition.
Therefore, early intervention is key in the successful management of congenital clubfoot in infants.
Question 4 of 5
Which laboratory test value is elevated in clients who smoke and can't be used as a general indicator of cancer?
Correct Answer: B
Rationale: Alkaline phosphatase level is elevated in clients who smoke due to various reasons unrelated to cancer. Smoking leads to increased alkaline phosphatase production in the liver, and elevated levels can be attributed to liver damage caused by smoking. However, a high alkaline phosphatase level alone cannot be used as a general indicator of cancer because it is not specific to cancer and can be influenced by several other factors.
Therefore, it is not a reliable marker for the presence of cancer in individuals who smoke or in the general population.
Question 5 of 5
A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.