ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
A patient is admitted with a diagnosis of renal failure. He also mentions that he has stomach distress and ha ingested numerous antacid tablets over the past 2 days. His blood pressure is 110/70, his face is flushed, and he is experiencing generalized weakness. Choose the most likely magnesium (Mg ) value.
Correct Answer: A
Rationale: The patient's presentation suggests that he may be suffering from hypermagnesemia (high magnesium levels) due to excessive ingestion of antacid tablets. Symptoms of hypermagnesemia can include flushing, weakness, and low blood pressure. A serum magnesium level of 11mEq/L is consistent with hypermagnesemia. In this scenario, the other values (2mEq/L, 5mEq/L, 1mEq/L) are unlikely to be the correct magnesium level based on the patient's symptoms and history of antacid ingestion.
Question 2 of 5
The nurse in the postoperative unit prepares to receive a client after a balloon angioplasty of the carotid artery. Which of the ff items of priority should the nurse keep at the bedside for such client?
Correct Answer: A
Rationale: Having a blood pressure apparatus at the bedside is a priority for a client following a balloon angioplasty of the carotid artery. Monitoring blood pressure closely is essential to assess for any signs of complications such as bleeding or thrombosis after the procedure. Rapid identification and management of any changes in blood pressure are crucial in the immediate postoperative period to ensure the client's safety and well-being. It allows the nurse to promptly intervene if there are any signs of complications, helping to prevent further harm to the client.
Question 3 of 5
The nurse is caring for an infant with a suspected urinary tract infection. Which clinical manifestations should be expected? (Select all that apply.)
Correct Answer: A
Rationale: A urinary tract infection (UTI) in an infant may present with symptoms such as vomiting and failure to gain weight. Vomiting can be a common sign of UTI in infants due to irritation and inflammation in the urinary tract. Additionally, infants with UTIs may experience poor feeding and failure to gain weight due to the discomfort and systemic effects of the infection. While symptoms like jaundice, swelling of the face, back pain, and persistent diaper rash can be seen in other conditions, they are not typically associated with a urinary tract infection in infants.
Question 4 of 5
Kasabach-Merritt syndrome is characterized by all the following EXCEPT
Correct Answer: D
Rationale: Kasabach-Merritt syndrome is not typically associated with hemangiomas.
Question 5 of 5
A client takes prednisone (Deltasone), as prescribed, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as:
Correct Answer: B
Rationale: Prednisone, or Deltasone, is a corticosteroid medication commonly prescribed for conditions like rheumatoid arthritis. One of the common adverse reactions to corticosteroids like prednisone is fluid retention and weight gain. This can occur due to the drug's effect on sodium and water retention in the body, leading to edema and increased body weight. Monitoring for signs of fluid retention, such as swelling in the extremities, and weight changes is important during follow-up visits to ensure the client's well-being and to address any concerns promptly. Tetany and tremors (choice A) are not typically associated with prednisone use, and anorexia and weight loss (choice C) are not common adverse reactions but rather less common side effects of prednisone.