ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
A mother of a 2-year-old has just left the hospital to check on her other children. Which of the following would best help the 2-year-old who is now crying inconsolably?
Correct Answer: D
Rationale: In this scenario, the best option to help the 2-year-old who is crying inconsolably after the mother leaves would be option D) Favorite blanket. This choice is the most appropriate as it provides comfort and security to the child during the mother's absence. The favorite blanket is a familiar object that can offer a sense of familiarity and safety, helping to soothe the child's distress. For young children, attachment to comfort objects like a favorite blanket is a common and effective coping mechanism in stressful situations. It provides emotional support and can help reduce anxiety and promote a sense of security. In contrast, options A, B, and C are not as effective in providing immediate comfort to the child in this situation. Taking a nap may not be feasible or helpful when the child is upset and needs comfort. A peer play group may not address the child's immediate emotional needs for comfort and security, and introducing a large cuddly dog may not be appropriate or comforting for all children, especially in a hospital setting where the child may already be feeling overwhelmed. In an educational context, understanding the significance of comfort objects like a favorite blanket in providing emotional support to young children is crucial for healthcare providers, especially in pediatric settings. It is essential to consider the child's emotional well-being and individual coping mechanisms when managing distress in young patients. By recognizing the importance of familiar objects in pediatric care, healthcare providers can better support children during challenging and stressful situations.
Question 2 of 5
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
Correct Answer: D
Rationale: Educating the patient to use pelvic floor exercises (Kegel exercises) will help strengthen pelvic floor muscles. Carbonated beverages will lead to increased gas and potential gastrointestinal discomfort. During the postpartum period, the patient is at greater risk for dehydration and thus should increase fluids. Limitation of fluids is not warranted during the postpartum period.
Question 3 of 5
During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?
Correct Answer: A
Rationale: A major task of the formal stage of role attainment is getting acquainted with the infant. The informal stage begins once the parents have learned appropriate responses to their infant's cues. The personal stage is attained when parents feel a sense of harmony in their role. The anticipatory stage begins during the pregnancy when the parents choose a physician and attend childbirth classes.
Question 4 of 5
A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse's most appropriate response at this time?
Correct Answer: D
Rationale: The correct answer is D because the nurse needs to differentiate between postpartum blues and more serious conditions like postpartum depression. By asking if the patient is able to care for her baby, the nurse is assessing the severity of the symptoms and determining if the patient needs further evaluation or support. This response shows a proactive approach to addressing the patient's concerns and ensuring proper care.
Question 5 of 5
Which nursing measure would be most appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?
Correct Answer: B
Rationale: The most appropriate nursing measure to prevent thrombophlebitis in the recovery period following a cesarean birth is option B) Assist the patient in performing leg exercises every 2 hours. Performing leg exercises helps promote circulation and prevents blood stasis, which is crucial in reducing the risk of thrombophlebitis. This intervention aids in maintaining venous return, preventing the formation of blood clots, and promoting overall vascular health. Additionally, leg exercises help prevent muscle atrophy and improve the patient's mobility and comfort during the recovery period. Options A, C, and D are incorrect for preventing thrombophlebitis. Limiting oral intake of fluids for the first 24 hours (Option A) does not directly address the risk of thrombophlebitis and may lead to dehydration, which can actually increase the risk of clot formation. While ambulating the patient (Option C) is important for preventing complications post-cesarean, it may not be as effective in preventing thrombophlebitis as targeted leg exercises. Rolling a bath blanket behind the patient's knees (Option D) may provide comfort but does not address the underlying issue of promoting circulation and preventing clot formation in the same way that leg exercises do. In an educational context, it is crucial for nursing students to understand the rationale behind preventive measures for postoperative complications like thrombophlebitis. By grasping the importance of interventions such as leg exercises, students can provide evidence-based care to promote optimal patient outcomes and prevent potentially serious complications.