ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
During thoracentesis, which of the following nursing intervention will be most crucial?
Correct Answer: B
Rationale: Maintaining strict aseptic technique during thoracentesis is the most crucial nursing intervention. Thoracentesis is a procedure where a needle is inserted into the pleural space to obtain a sample of fluid for diagnostic purposes or to drain excess fluid for therapeutic relief. It is essential to prevent the introduction of pathogens or contaminants into the pleural space, as this can lead to serious complications such as infection. By following strict aseptic technique, the risk of complications can be minimized, ensuring the safety and well-being of the patient undergoing the procedure.
Question 2 of 5
Which of the ff. actions would the nurse include in the plan of care to reduce the symptoms of the patient who has vertigo?
Correct Answer: C
Rationale: Vertigo is a sensation of spinning or dizziness that can be caused by issues in the inner ear. One of the key strategies in managing vertigo is to avoid sudden movements that can trigger or worsen the symptoms. Sudden movements can disrupt the balance mechanisms in the inner ear and further exacerbate the feeling of dizziness and spinning. By advising the patient to avoid sudden movements, the nurse can help reduce the intensity and frequency of vertigo episodes, promoting greater comfort and quality of life for the patient.
Question 3 of 5
Which instruction about insulin administration should the nurse give to a client?
Correct Answer: A
Rationale: The correct instruction the nurse should give to the client is to "Always follow the same order when drawing the different insulin into the syringe." This is important because mixing different insulins in the same syringe can alter their action profiles and lead to inaccurate dosing. It is crucial to follow a consistent order to prevent mixing the insulins inadvertently. It is advisable to consult a healthcare provider or pharmacist for specific instructions on insulin administration to ensure safety and effectiveness.
Question 4 of 5
A client with diabetes mellitus must learn how to self-administer insulin. The physician has prescribed 10 U of U- 100 regular insulin and 35 U of 100-U isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instruction?
Correct Answer: B
Rationale: The nurse should instruct the client to rotate injection sites within the same anatomic region, not among different regions. Proper rotation of injection sites helps prevent lipodystrophy (changes in fat tissue) and ensures consistent absorption of insulin. By rotating sites within the same region, the client can minimize the risk of developing localized skin complications. Additionally, rotating sites helps to ensure that the insulin is absorbed consistently, leading to more predictable blood glucose control. It is important to avoid injecting into areas of scar tissue, hypotrophy, large blood vessels, or nerves, as these can affect the absorption of insulin and may lead to inconsistent blood glucose levels.
Question 5 of 5
Minda, a 65-year old female has been admitted with a left hemisphere stroke. Which behavioral change would the nurse expect to find upon assessment?
Correct Answer: D
Rationale: A left hemisphere stroke typically affects the right side of the body due to the way the brain controls motor functions. Since the left hemisphere is also responsible for language and speech processing, patients with a left hemisphere stroke commonly exhibit errors in word choices, difficulty speaking or understanding language, aphasia, and other language-related impairments. This is known as Broca's aphasia or expressive aphasia. Therefore, the nurse would expect to find errors in word choices as a behavioral change in a patient like Minda with a left hemisphere stroke.