ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
A Jewish client has been diagnosed with ulcerative colitis. A nursing diagnosis appropriate for a client who has ulcerative colitis is:
Correct Answer: A
Rationale: Among the given choices, the nursing diagnosis appropriate for a client with ulcerative colitis is "abdominal pain related to decreased peristalsis." Ulcerative colitis is a chronic inflammatory bowel disease that directly affects the lining of the colon and rectum, leading to symptoms such as abdominal pain, diarrhea, and bloody stool. Decreased peristalsis occurs in patients with ulcerative colitis, resulting in abdominal pain due to inflammation and irritation of the intestines. This pain is a common symptom experienced by individuals with ulcerative colitis and can significantly impact their quality of life. Therefore, addressing the client's abdominal pain is crucial in providing effective nursing care for someone diagnosed with ulcerative colitis.
Question 2 of 5
Tiffany is diagnosed with increased intracranial pressure (ICP); which of the following if stated by her parents would indicate a need for Nurse Charlie to reexplain the purpose for elevating the head of the bed at a 10 to 20-degree angle?
Correct Answer: B
Rationale: Elevating the head of the bed at a 10 to 20-degree angle helps to increase intrathoracic pressure. This increase in pressure can aid in promoting cerebrospinal fluid drainage and reducing intracranial pressure. It is important to maintain the correct angle to achieve the desired effect and avoid potential complications. If Tiffany's parents mention this as the reason for elevating the bed, Nurse Charlie should reexplain the purpose to ensure they understand the intended outcome.
Question 3 of 5
A parent of a child with glomerulonephritis asks why the urine is discolored. Which is the best response?
Correct Answer: B
Rationale: Hematuria (blood in the urine) is a common finding in glomerulonephritis and causes a tea-colored appearance.
Question 4 of 5
The nurse is instructing a premenopausal woman about breast self-examination. The nurse should tell the client to do her self-examination:
Correct Answer: C
Rationale: The nurse should advise the premenopausal woman to perform her breast self-examination on the same day each month. Regular monthly self-examination helps the woman become familiar with the normal texture and appearance of her breasts, making it easier to detect any changes or abnormalities that may indicate a problem. Performing the examination on the same day each month helps ensure consistency in timing and facilitates the woman to establish a routine for self-examination. This consistent approach increases the likelihood of detecting any changes early, which is crucial for timely medical evaluation and intervention if needed.
Question 5 of 5
The physician orders local application of epinephrine 1:1000 solution to treat a nosebleed. The patient asks how this will help. Which of the ff. responses by the nurse is best?
Correct Answer: D
Rationale: Epinephrine is a vasoconstrictor, which means it causes blood vessels to narrow. When applied locally to the site of a nosebleed, epinephrine constricts the blood vessels in the nose, slowing down and stopping the bleeding. By constricting the blood vessels, epinephrine helps to reduce the blood flow to the area, allowing a clot to form and stop the bleeding. This is why option D, "It will constrict your vessels and slow down the bleeding," is the best response by the nurse to explain how epinephrine will help treat a nosebleed.