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
The nurse is teaching the parents of a child with developmental dysplasia of the hip (DDH) regarding the application of the Pavlik harness. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct information that the nurse should include in the teaching is that clothing should always fit loosely over the harness. This is important to prevent restriction of movement and ensure comfort for the child wearing the Pavlik harness. Tight clothing can cause discomfort, skin irritation, and interfere with the effectiveness of the harness in positioning the hip properly. Parents should be advised to choose clothing that is loose-fitting and does not put pressure on the harness or the child's skin.
Question 3 of 5
Which nursing action is most appropriate for the weak patient with osteoporosis?
Correct Answer: B
Rationale: For a weak patient with osteoporosis, it is important to promote mobility and weight-bearing activities to help maintain bone strength and prevent further bone loss. Ambulating with assistance can help improve muscle strength and balance, reducing the risk of falls and fractures. Maintaining bedrest can lead to further weakness and bone loss, so it is not the most appropriate action in this case. Encouraging fluids and providing a high-protein diet are important for overall health and healing but might not directly address the specific needs of a weak patient with osteoporosis.
Question 4 of 5
All the following are features of rapid eye movement (REM) EXCEPT
Correct Answer: D
Rationale: CT scan of head and neck is not a feature of REM sleep; it is an imaging study unrelated to the physiological characteristics of REM sleep.
Question 5 of 5
Nurse Analiza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
Correct Answer: C
Rationale: Intraosseous drug administration is typically reserved for pediatric patients who are critically ill and under the age of 3. This route is chosen when intravenous access cannot be readily established or when the patient is in urgent need of medication administration. Young children have easily accessible bone marrow spaces, making intraosseous administration a quick and effective means of delivering medications in emergency situations. Older children tend to have more developed vasculature, making it easier to establish intravenous access in those cases.