ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?
Correct Answer: C
Rationale: The correct position to place a patient before, during, and after a seizure is on their side, also known as the recovery position. Placing the patient in the side-lying position helps prevent aspiration if the patient vomits and ensures that the airway remains open. This position also helps to prevent choking and allows for drainage of fluids from the mouth. Additionally, it reduces the risk of airway obstruction and helps to maintain proper alignment of the head, neck, and spine. By placing the patient in the side-lying position, the nurse can ensure the patient's safety and well-being during and after a seizure episode.
Question 2 of 5
A patient returns from surgery ff. a TURP with a three-way Foley catheter and continuous bladder irrigation. Postoperative orders include Meperidine (Demerol) 75 mg IM q3h as needed for pain, belladonna and opium (B&O) suppository q4h as needed, and strict I&O. the patient complains of painful bladder spasms, and the nurse observes blood-tinged urine on the sheets. Which action should the nurse take?
Correct Answer: D
Rationale: The nurse should notify the physician stat in this situation. The presence of blood-tinged urine and painful bladder spasms in a patient with a three-way Foley catheter and continuous bladder irrigation post TURP could indicate a potential complication such as hemorrhage or clot retention. It is crucial to ensure prompt medical evaluation and intervention to address these issues effectively. Waiting or administering pain medication without further assessment could delay necessary treatment and lead to worsening of the patient's condition. Therefore, notifying the physician immediately is the most appropriate action in this scenario.
Question 3 of 5
When a child has chronic renal failure, the progressive deterioration produces a variety of clinical and biochemical disturbances that eventually are manifested in the clinical syndrome known as:
Correct Answer: A
Rationale: Chronic renal failure leads to the build-up of waste products and toxins in the blood, known as uremia. This condition results from the kidneys' inability to effectively filter waste from the blood and maintain proper fluid and electrolyte balance. As renal function declines, uremia can lead to a variety of clinical manifestations such as fatigue, nausea, itching, and electrolyte imbalances, ultimately resulting in the clinical syndrome known as uremia. Oliguria refers to reduced urine output, proteinuria is the presence of excessive protein in the urine, and pyelonephritis is a bacterial infection of the kidneys - these conditions may be present in chronic renal failure but are not the defining clinical syndrome.
Question 4 of 5
A nurse is assessing a patient admitted for an asthma exacerbation. Which breath sounds does the nurse expect to assess?
Correct Answer: C
Rationale: Wheezes are high-pitched, musical sounds heard during inspiration or expiration due to the constriction or narrowing of the airways, commonly associated with asthma exacerbations. The presence of wheezes indicates airway obstruction, making it the expected breath sound in a patient admitted for an asthma exacerbation. Rubs, rattles, and crackles are associated with different conditions such as pleural friction rubs, respiratory secretions, and fluid in the alveoli, respectively.
Question 5 of 5
The nurse is reviewing the medication history of a new preoperative patient who is nil by mouth (NPO). The nurse notes that the patient has been on long-term oral steroid therapy. The nurse understands that which of the following is the reason that steroids cannot be abruptly stopped?
Correct Answer: A
Rationale: Steroids should not be abruptly stopped, especially in patients on long-term therapy, because higher steroid levels are needed during stress. Abruptly stopping steroids can lead to adrenal insufficiency and a life-threatening condition called adrenal crisis. Patients undergoing surgery or experiencing significant stress require higher doses of steroids to prevent adrenal crisis. It is important for healthcare providers to monitor and adjust steroid doses accordingly during stressful situations such as surgery.