ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Charles is started on chemotherapy, which is aimed at restoring dopaminergic activities. An example of such a drug is:
Correct Answer: D
Rationale: Dopar is a drug that contains L-DOPA (levodopa), which is a precursor to dopamine. L-DOPA is used in the treatment of Parkinson's disease to restore dopaminergic activity in the brain. By converting into dopamine in the brain, L-DOPA helps to alleviate the symptoms of Parkinson's disease, such as muscle rigidity, tremors, and slowed movement. Therefore, Dopar is an example of a drug aimed at restoring dopaminergic activities, making it the correct choice in this scenario.
Question 2 of 5
To prevent infection in a patient with a subdural intracranial pressure monitoring system in place, the nurse should;
Correct Answer: A
Rationale: To prevent infection in a patient with a subdural intracranial pressure monitoring system in place, the nurse should use aseptic technique for the insertion site. Aseptic technique involves maintaining a sterile field to prevent the introduction of microorganisms that could lead to infection. Using aseptic technique specifically for the insertion site helps reduce the risk of introducing pathogens into the patient's intracranial system, reducing the chances of infection. Additionally, maintaining a strict aseptic technique is crucial for preventing complications and ensuring patient safety when managing intracranial pressure monitoring systems.
Question 3 of 5
The nurse knows that a client understands a low residue diet when he selects which of the following from the menu?
Correct Answer: A
Rationale: A low residue diet is designed to minimize the amount of undigested food in the stool, therefore reducing the frequency and volume of bowel movements. Foods high in fiber, such as pasta with vegetables and strawberry pie, may not be suitable for a low residue diet as they can increase stool bulk. Tuna casserole may contain ingredients like bread crumbs or high-fiber vegetables that are also not recommended on a low residue diet. Rice and lean chicken are good choices for this diet as they are low in fiber and easy to digest, making them suitable options for a client following a low residue diet.
Question 4 of 5
An adult has a central venous line. Which of the following should the nurse include in the plan of care?
Correct Answer: D
Rationale: An adult with a central venous line should include monitoring for any signs of infection, air embolus, and leakage or puncture in the plan of care. Central venous lines carry a risk of complications such as infection, air embolism, and mechanical issues like leakage or puncture. These complications can be serious and require immediate attention to prevent further harm to the patient. Regular monitoring and assessment for these potential issues are crucial in providing safe care for a patient with a central venous line. Other options (A, B, C) may be important in the overall care but monitoring for complications is the priority.
Question 5 of 5
All the following are features of rapid eye movement (REM) EXCEPT
Correct Answer: D
Rationale: In pediatric emergency nursing, understanding the features of rapid eye movement (REM) is crucial for assessing neurological function in critically ill children. The correct answer is D) CT scan of head and neck, as REM is a sleep stage characterized by rapid eye movements and vivid dreaming, not a diagnostic imaging study. Option A) polysomnography is used to monitor sleep patterns, including REM cycles, making it a feature of REM. Option B) EEG (electroencephalogram) can show brain activity during sleep, including REM phases, so it is also a feature of REM. Option C) fiberoptic nasopharyngeal examination does not directly relate to REM sleep and is more associated with upper airway assessment. Educationally, understanding the features of REM helps nurses interpret diagnostic tests and recognize normal and abnormal findings in pediatric patients. By knowing that a CT scan is not a feature of REM, nurses can prioritize appropriate assessments and interventions in the emergency setting, leading to improved patient outcomes.