ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A patient teaching plan should include which of the ff. lifestyle modifications to help control hypertension?
Correct Answer: A
Rationale: Regular aerobic exercise is an essential lifestyle modification to help control hypertension. Exercise can help lower blood pressure, improve cardiovascular health, and reduce the risk of developing hypertension. Physical activity strengthens the heart, making it more efficient in pumping blood, which can lead to lower blood pressure levels. Additionally, exercise helps in weight management, which is crucial in controlling hypertension as obesity is a significant risk factor for high blood pressure. Overall, incorporating regular aerobic exercise into a patient's routine can significantly contribute to better blood pressure control and overall health.
Question 2 of 5
Morphine is given in acute pulmonary edema to redistribute the pulmonary circulation to the periphery by decreasing:
Correct Answer: B
Rationale: Morphine is given in acute pulmonary edema to decrease pulmonary capillary pressure. By reducing pulmonary capillary pressure, morphine helps to redistribute the pulmonary circulation to the periphery, leading to improved oxygenation and decreased symptoms of pulmonary edema. Morphine works to vasodilate the blood vessels, which ultimately helps decrease the pressure in the pulmonary capillaries, allowing for improved blood flow to the periphery of the lungs. This redistribution of pulmonary circulation helps to alleviate the congestion and fluid buildup in the lungs that occurs in acute pulmonary edema.
Question 3 of 5
A highly careful mother of a 10-month-old baby boy complains of inadequate weight gain due to refusal of spoon feeding. The LEAST helpful advice is to
Correct Answer: B
Rationale: Offering softer food may not address the underlying issue of refusal.
Question 4 of 5
The nurse is assessing a child with croup and a sore throat in the ED. The child is drooling and agitated. The nurse should know that examining the child's throat using a tongue depressor might precipitate which of the following?
Correct Answer: C
Rationale: When assessing a child with croup who is drooling and agitated, the nurse should be aware that examining the throat using a tongue depressor can potentially precipitate a complete airway obstruction. Croup is characterized by upper airway inflammation, particularly around the larynx and trachea, leading to a barking cough, hoarseness, and respiratory distress. In a child with croup who is already showing signs of airway compromise such as drooling and agitation, any manipulation in the throat area can cause further swelling and lead to a complete obstruction of the airway. This can be a life-threatening emergency requiring immediate intervention to secure the airway and ensure adequate oxygenation. Therefore, utmost caution should be taken when performing any procedures that may exacerbate the child's respiratory distress in this situation.
Question 5 of 5
Following hypophysectomy, patients require extensive teaching regarding this major alteration in their lifestyle
Correct Answer: B
Rationale: Following hypophysectomy, which is the surgical removal of the pituitary gland, patients will require lifetime dependency on hormone replacement therapy. The pituitary gland plays a crucial role in regulating various hormones in the body, and without it, the body will not be able to produce essential hormones like growth hormone, thyroid-stimulating hormone, and others. Therefore, hormone replacement therapy is necessary to maintain hormone balance and prevent complications associated with hormone deficiencies. This major alteration in the patient's lifestyle necessitates ongoing medical management and monitoring to ensure hormone levels are maintained within a normal range. The other options (A, C, D) are not directly related to the necessary lifestyle changes following hypophysectomy.