ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
Correct Answer: C
Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.
Question 2 of 5
A client who has been taking prednisone to treat lupus erythematosus has discontinued the medication because of lack of funds to buy the drug. When the nurse becomes aware of the situation, which assessment is most important for the nurse to make first?
Correct Answer: B
Rationale: The most important assessment for the nurse to make first in this situation is the client's blood pressure. Abrupt discontinuation of prednisone, especially in a client with lupus erythematosus, can lead to adrenal insufficiency or an Addisonian crisis. Addisonian crisis can present with symptoms such as severe hypotension, fatigue, weakness, and even shock. Therefore, monitoring the client's blood pressure is crucial to assess for signs of adrenal insufficiency and to intervene promptly if needed. Once blood pressure is assessed, the nurse can then proceed to assess other parameters such as breath sounds, capillary refill, and the presence of a butterfly rash.
Question 3 of 5
Which is a common side effect of short-term corticosteroid therapy?
Correct Answer: D
Rationale: Increased appetite is a common side effect of short-term corticosteroid therapy. Corticosteroids can affect the areas of the brain that control appetite, leading to an increase in hunger and potentially weight gain. While weight loss can occur with long-term corticosteroid use, short-term therapy is more likely to cause increased appetite as a side effect. Fever and hypertension are less commonly associated with short-term corticosteroid therapy.
Question 4 of 5
A female client with lymphedema expresses her anxiety about the abnormal enlargement of an arm. Which of the ff suggestions should a nurse give to support the clients self image?
Correct Answer: C
Rationale: Introducing variations in styles of clothing can help the client feel more comfortable and confident despite the abnormal enlargement of her arm due to lymphedema. By wearing different styles of clothing that accommodate the affected arm, the client can still express her personal style and feel good about her appearance. This approach can help improve the client's self-image and self-esteem, supporting her emotionally as she copes with the condition. Placing the arm in a sling, applying cold soaks, or tying a tight bandage are not appropriate suggestions for addressing the client's anxiety and self-image concerns in this situation.
Question 5 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.