ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement?
Correct Answer: D
Rationale: The correct statement to include during preoperative teaching for a client undergoing subtotal thyroidectomy is "You must avoid hyperextending your neck after surgery." This is important because hyperextending the neck can put strain on the suture line and may lead to dehiscence (wound opening). It is crucial for the client to avoid any activities or positions that could compromise the surgical site and hinder proper healing.
Question 2 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.
Question 3 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 4 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 5 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.