ATI RN
Pediatric Respiratory Distress Nursing Interventions Questions
Question 1 of 5
A postpartum patient has developed deep vein thrombosis (DVT) and treatment with warfarin (Coumadin) has been initiated. Which dietary selection should be modified in view of this treatment regimen?
Correct Answer: C
Rationale: Foods that are high in vitamin K should be restricted and/or limited in consumption while on Coumadin therapy. Vitamin K is the antidote to Coumadin activity. Therefore, lentils, which are high in vitamin K, should be modified in the patient's diet to prevent interference with the effectiveness of warfarin in treating DVT.
Question 2 of 5
The nurse is explaining how a newly delivered baby initiates respirations. Which statement explains this process most accurately?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
During the first few minutes after birth, which physiologic change occurs in the newborn as a response to vascular pressure changes in increased oxygen levels?
Correct Answer: D
Rationale: In response to increased oxygen levels, a physiologic change in the newborn is the dilation of pulmonary vessels. This response helps facilitate the transition to breathing air. The other options do not accurately reflect the physiologic change associated with increased oxygen levels in the newborn.
Question 4 of 5
A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: The correct answer is A because crusting is a normal part of healing after circumcision. It is important not to remove the yellow crust, as it is a natural part of the healing process. It is essential to differentiate between normal yellowish exudate and purulent drainage of infection. Discontinuing the use of petroleum jelly is not necessary unless a specific device was used for circumcision. Keeping the diaper loose is important to prevent rubbing or pressure on the incision site.
Question 5 of 5
A glucose level of 40 mg/dL requires an action. The nurse should follow agency policy and health care provider orders regarding feeding infants with low glucose levels. A common practice is to feed the newborn breast milk or formula if the glucose screening reveals a level of 40 to 45 mg/dL or less to prevent further depletion of glucose. Infants with severe hypoglycemia may need intravenous feedings to provide glucose.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.