ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A narcotic analgesic is ordered for postoperative pain. Why are narcotics given in low doses to the laryngectomy patient?
Correct Answer: A
Rationale: Narcotic analgesics, when given in high doses, can depress the respiratory rate and cough reflex in patients. Laryngectomy patients have had their larynx removed and may already have compromised respiratory function. Therefore, giving narcotics in low doses helps to minimize the risk of further respiratory depression in these patients. It is important to closely monitor respiratory status when administering narcotics to laryngectomy patients to prevent potential complications.
Question 2 of 5
About 500 children have just been exposed to radiation from a nuclear power plant accident. The most appropriate first step in your treatment of these children should be to
Correct Answer: A
Rationale: Potassium iodide can protect the thyroid from radioactive iodine exposure, which is a critical first step in radiation exposure.
Question 3 of 5
The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at
Correct Answer: C
Rationale: Developmental screenings are recommended at 9, 18, and 30 months.
Question 4 of 5
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
Correct Answer: D
Rationale: Therapeutic management for rheumatic fever includes administering penicillin to eradicate the streptococcal infection, avoiding salicylates (aspirin) to prevent Reye's syndrome, and imposing strict bed rest for the acute phase to decrease cardiac workload and prevent joint complications. Corticosteroids are used if chorea (involuntary movement disorder) develops to reduce inflammation and control symptoms. Therefore, the nurse should expect to administer corticosteroids if chorea develops in a child with rheumatic fever.
Question 5 of 5
In addition to weakness and fatigue, which of the following problems should the nurse expect Aisa to exhibit?
Correct Answer: B
Rationale: In addition to weakness and fatigue, the nurse should expect Aisa to exhibit an increased pulse rate. Weakness and fatigue are common symptoms of anemia, a condition characterized by a decrease in the number of red blood cells or hemoglobin in the blood. Anemia can lead to the heart working harder to pump oxygen-rich blood to the body, resulting in an increased pulse rate. Therefore, it is important for the nurse to assess for signs of tachycardia (elevated heart rate) in a patient with anemia.