ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
60 year-old Mrs. Torres arrived just in time for her doctor's appointment. She complains of pain and stiffness in her back. She is suspected of having osteoporosis. Nurse Ariane will inform Mrs. Torres that the primary complication of osteoporosis is:
Correct Answer: D
Rationale: The primary complication of osteoporosis is fractures. Osteoporosis is a condition characterized by low bone mass and deterioration of bone tissue, leading to increased bone fragility and susceptibility to fractures. Fractures, especially in the spine, hip, and wrist, are common complications of osteoporosis and can significantly impact an individual's quality of life. Patients with osteoporosis are at an increased risk of fractures from minor trauma or even during normal daily activities. Therefore, preventing fractures is a key focus in the management of osteoporosis to minimize pain, disability, and complications associated with bone fractures.
Question 2 of 5
. Which of the following instructions should be included in the teaching plan for a client requiring insulin?
Correct Answer: D
Rationale: When mixing two types of insulin in one syringe, it is important to draw up the clear insulin first before drawing up the cloudy insulin. This is done to prevent contamination and ensure accurate dosing. Drawing up the clear insulin first helps to prevent the cloudy insulin from contaminating the clear insulin and maintains the proper ratio of each insulin type. It is an important technique to ensure the effectiveness and safety of insulin administration for the client.
Question 3 of 5
The physician prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: C
Rationale: When treating hypoglycemia, it is important to provide a quick source of sugar to raise blood glucose levels rapidly. Consuming 10 to 15 grams of a simple carbohydrate is appropriate for treating mild to moderate hypoglycemia. Examples of foods that contain approximately 10 to 15 grams of simple carbohydrates include four glucose tabs, 4 ounces of fruit juice, 5 to 6 pieces of hard candy, or 1 tablespoon of honey. It is also recommended to recheck blood glucose levels after 15 minutes and have a snack or meal to prevent glucose levels from dropping again.
Question 5 of 5
The nurse is aware that multiple sclerosis is a progressive disease of the central nervous system characterized by:
Correct Answer: D
Rationale: Multiple sclerosis (MS) is a progressive disease of the central nervous system characterized by all the given options: axon degeneration, sclerosed patches of the nervous system, and demyelination of the brain and spinal cord. Axon degeneration occurs due to the damage caused by the immune system attacking the myelin sheath. Sclerosed patches of the nervous system result from the formation of scar tissue in the central nervous system. Demyelination is the hallmark feature of MS, where the protective covering of nerve fibers (myelin) is damaged, leading to disrupted communication between the brain and the rest of the body. Collectively, these characteristics contribute to the clinical manifestations and progression of multiple sclerosis.