ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A female client age 66 is admitted ff a nephrolithomy. One of her laboratory tests reveals a urinary tract infection. Which would be the best nursing action in her case?
Correct Answer: C
Rationale: In the case of a female client age 66 admitted for a nephrolithotomy with a urinary tract infection, the best nursing action is to encourage fluid intake of 3000ml/day. Adequate hydration helps in flushing out the bacteria causing the urinary tract infection and can prevent further complications. Increasing fluid intake also helps in preventing the formation of new kidney stones. Administering IV fluids and blood transfusions may be necessary based on the patient's overall condition, but the priority action in this case is to promote increased oral fluid intake. Administering narcotic analgesics as prescribed can help manage pain related to the nephrolithotomy procedure, but it does not directly address the urinary tract infection. Suggesting taking herbs or spices to increase food palatability is not the priority in this situation and may not contribute significantly to the management of the urinary tract infection.
Question 2 of 5
Management of hypercalcemia includes all of the following actions except administration of:
Correct Answer: B
Rationale: While furosemide can increase calcium excretion through the kidneys, it may also exacerbate volume depletion and potentially lead to further increase in serum calcium levels. Therefore, administration of furosemide without proper saline or fluid replacement should be avoided in the management of hypercalcemia. The other options mentioned, such as giving fluids to dilute calcium levels, using inorganic phosphate salts, and providing intravenous phosphate therapy, are all appropriate measures in treating hypercalcemia.
Question 3 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 4 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 5 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.