ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A client who underwent litholapaxy surgery for removing bladder stones wants to know how long the urethral catheter needs to stay in place. Which of the ff is the correct response?
Correct Answer: B
Rationale: After a litholapaxy surgery for bladder stones, it is common for the urethral catheter to remain in place for 1-2 days. This timeframe allows for adequate drainage and healing of the bladder following the procedure. The healthcare team will monitor the patient's progress and determine the appropriate timing for catheter removal based on individual factors such as the size of the stones removed and the patient's overall condition. Early removal of the catheter may increase the risk of complications, while leaving it in place for too long may also lead to problems such as infection. Therefore, the recommended duration of 1-2 days strikes a balance between allowing for proper healing and minimizing potential issues related to catheterization.
Question 2 of 5
Serum albumin Is to be administered intravenously to client with ascites, The expected outcome of this treatment will be a decrease in:
Correct Answer: C
Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.
Question 3 of 5
If a client's parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?
Correct Answer: D
Rationale: The parathyroid glands play a crucial role in regulating calcium levels in the body. If the parathyroid glands are accidentally removed during a procedure, the patient is at risk for developing hypocalcemia due to the lack of parathyroid hormone (PTH) production. PTH helps to maintain normal calcium levels in the blood by stimulating the release of calcium from the bones, increasing calcium absorption in the intestines, and reducing calcium excretion by the kidneys. Without PTH, the body's ability to regulate calcium is impaired, leading to low calcium levels, which is known as hypocalcemia. Symptoms of hypocalcemia can include muscle cramps, spasms, and tingling sensations. Nurses should be prepared to monitor for and manage hypocalcemia in a patient who has had their parathyroid glands accidentally removed during a procedure.
Question 4 of 5
In which of the ff circumstances should a nurse avoid using midline and mid clavicular sites for IV therapy? Choose all that apply.
Correct Answer: a
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A 17-year-old student enters the emergency department with a nosebleed that won't quit. Which of the following positions is recommended for the patient with a nosebleed?
Correct Answer: D
Rationale: The recommended position for a patient with a nosebleed is sitting up and leaning slightly forward. This position helps prevent blood from flowing down the back of the throat, which can cause gagging, choking, or vomiting. Leaning forward also helps to prevent blood from accumulating in the sinuses, reducing the risk of aspiration. Additionally, this position allows easy access to apply pressure to the nostrils to help stop the bleeding. It is essential to avoid lying down or tilting the head back, as this can lead to swallowing blood and potentially cause further complications.