ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A nursing intervention for anemia is:
Correct Answer: B
Rationale: Anemia is a condition characterized by a low red blood cell count or insufficient hemoglobin levels, resulting in decreased oxygen-carrying capacity in the blood. One of the nursing interventions for anemia is to promote a high protein, vitamin, and iron diet. Iron is essential for the production of hemoglobin, which carries oxygen in the blood. Including foods rich in iron, such as lean meats, dark leafy greens, beans, and fortified cereals, can help boost iron levels in the body. Additionally, consuming foods high in vitamin C can also aid in iron absorption. Protein is crucial for overall health and plays a role in red blood cell production. By encouraging a nutrient-rich diet, nurses can help support the body's ability to replenish its red blood cell supply and improve the symptoms associated with anemia.
Question 2 of 5
Through which of the following does lymph return to the blood?
Correct Answer: D
Rationale: Lymph returns to the blood circulation through the subclavian veins. The lymphatic system collects excess fluid, proteins, and waste products from the tissues and returns them to the bloodstream. The lymphatic vessels eventually converge into larger lymphatic ducts, and these ducts empty the lymph into the subclavian veins near the heart. From there, the lymph mixes with the blood, allowing it to circulate throughout the body and maintain fluid balance.
Question 3 of 5
A patient with a history of haemophilia A arrives in the emergency department complaining of a "funny feeling" in his elbow. The patient states that he thinks he is bleeding into the joint. Which response by the nurse is correct?
Correct Answer: B
Rationale: For a patient with a history of hemophilia A complaining of a "funny feeling" in the elbow, suspecting bleeding into the joint, the correct response by the nurse is to notify the physician immediately and expect an order for factor VIII. Hemophilia A is a genetic disorder characterized by a deficiency in clotting factor VIII, leading to prolonged bleeding. In this case, immediate medical intervention in the form of factor VIII replacement therapy is crucial to control and manage the bleeding episode. Urgent treatment aims to prevent complications such as joint damage and to promote hemostasis in patients with hemophilia. Palpating the elbow, preparing for an x-ray, or applying heat are not the appropriate initial actions when managing a suspected bleeding episode in a patient with hemophilia.
Question 4 of 5
A client who is HIV positive should have the mouth examined for which oral problem common associated with AIDS?
Correct Answer: B
Rationale: A client who is HIV positive should have the mouth examined for oral thrush, which presents as creamy white patches on the tongue or lining of the mouth. Oral thrush, caused by the fungus Candida albicans, is a common oral problem associated with AIDS. It is important to detect and treat oral thrush promptly in HIV-positive individuals as it can cause discomfort, difficulty swallowing, and further complications if left untreated. Regular oral examinations and proper oral hygiene practices are essential for managing oral health in individuals living with HIV/AIDS.
Question 5 of 5
What orders would likely be included fro a client diagnosed with multiple myeloma?
Correct Answer: C
Rationale: Corticosteroid therapy is commonly used in the treatment of multiple myeloma. It is often part of the initial treatment plan for this disease and is used to help control the cancer cells by reducing inflammation and immune responses. Corticosteroids can help manage symptoms such as pain and complications related to the disease. Bed rest, fluid restriction, and calcium replacement therapy may not be directly indicated for multiple myeloma treatment.