ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
A client is hospitalized with oat cell carcinoma of the lung. To manage severe pain, the physician prescribes a continuous I.V. infusion of morphine. Which formula should the nurse use to check that the morphine dose is appropriate for the client?
Correct Answer: C
Rationale: When calculating the appropriate dose of morphine for a client, the nurse should consider the client's body weight. The most commonly used formula for calculating the appropriate dose of morphine is 0.1 to 0.2 mg/kg of body weight for hourly dosing or 2.5 to 10 mg/kg/day for continuous infusions.
Question 2 of 5
A 9-year-old boy develops acute myelogenous leukemia (AML) one year after completion of therapy for soft tissue sarcoma at his right thigh. Which of the following chemotherapeutic agents is MOST likely the cause of secondary acute myelogenous leukemia AML in this boy?
Correct Answer: C
Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.
Question 3 of 5
The nurse is aware that the following laboratory values support a diagnosis of pyelonephritis?
Correct Answer: C
Rationale: Pyelonephritis is a bacterial infection of the kidney. One of the key indicators of pyelonephritis is the presence of pyuria, which refers to white blood cells in the urine. White blood cells in the urine suggest inflammation and infection in the urinary tract, particularly in the kidneys. Therefore, the presence of pyuria supports a diagnosis of pyelonephritis. Myoglobinuria (choice A) is the presence of myoglobin in the urine and is associated with muscle breakdown, not specifically with pyelonephritis. Ketonuria (choice B) refers to the presence of ketones in the urine and may be seen in conditions such as diabetic ketoacidosis. A low white blood cell count (choice D) is not typically associated with pyelonephritis, as an infection would generally result in an elevated white blood cell count in response to the infection.
Question 4 of 5
Which manifestation is more specific to occur in anaplastic large cell lymphoma (ALCL) than other types of non-Hodgkin lymphoma?
Correct Answer: D
Rationale: Primary mediastinal involvement is a hallmark feature of ALCL.
Question 5 of 5
A client has been receiving chemotherapy to treat cancer. Which assessment finding suggests that the client has developed stomatitis (inflammation of the mouth)?
Correct Answer: B
Rationale: Stomatitis is a common side effect of chemotherapy characterized by inflammation and irritation of the mucous membranes in the mouth. This can present as red, painful sores or ulcers on the oral mucosa. The presence of red, open sores in the mouth is indicative of stomatitis and warrants assessment and intervention to manage discomfort and prevent infection in the oral cavity. The other options are not typically associated with stomatitis in the context of chemotherapy.