ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5g/dl and has vertigo when getting out of bed. The nurse suspects abnormal orthostatic changes. The vital sign values that would most support the nurse's analysis are:
Correct Answer: C
Rationale: Following a splenectomy, the client's hemoglobin level of 7.5g/dl indicates anemia, which can contribute to orthostatic hypotension. When the client changes position from lying to standing, the decrease in blood volume may lead to a drop in blood pressure. Additionally, the compensatory mechanism to maintain perfusion to vital organs is to increase the heart rate. Therefore, the vital sign values that would most support the nurse's analysis are a drop in blood pressure (hypotension) and a rise in heart rate (tachycardia).
Question 2 of 5
A client has had heavy menstrual bleeding for 6 months. Her gynecologist diagnoses microcytic hypochromic anemia and prescribes ferrous sulfate (Feosol), 300mg PO daily. Before initiating iron therapy, the nurse reviews the client's medical history. Which condition would contraindicate the use of ferrous sulfate?
Correct Answer: D
Rationale: Severely impaired liver function is a contraindication for the use of ferrous sulfate. In patients with liver disease, iron metabolism can be affected, leading to potential toxicity from iron accumulation. Ferrous sulfate is primarily metabolized by the liver, so in cases of severely impaired liver function, the metabolism of the drug may be altered, leading to potential adverse effects. It is important to consider alternative iron therapy options in patients with severe liver impairment to avoid potential complications.
Question 3 of 5
A classic full blown AIDS case is identified by clinical manifestations such as:
Correct Answer: C
Rationale: A classic full-blown AIDS case is characterized by the presence of tumors and opportunistic infections due to the severe immunodeficiency caused by the human immunodeficiency virus (HIV). As the immune system becomes progressively weakened, the individual becomes highly susceptible to various infections and malignancies, which are typically not seen in individuals with a healthy immune system. The presence of tumors and opportunistic infections in an individual signifies the advanced stage of HIV infection and the progression to AIDS. The other options (A, B, D) are more general symptoms that can be seen in various stages of HIV infection and are not specific to a full-blown AIDS case.
Question 4 of 5
Which of the following blood products is most likely to be given to Joel?
Correct Answer: A
Rationale: Joel most likely requires Factor VIII concentrate. Factor VIII deficiency is characteristic of hemophilia A, which is a condition where there is a deficiency in clotting factor VIII. Treatment for hemophilia A involves replacing the missing Factor VIII through Factor VIII concentrate infusions to assist in blood clotting. Fresh frozen plasma and Factor II, VII, IX, X complex are not specific treatments for Factor VIII deficiency.
Question 5 of 5
A male client is prescribed medications that depress thrombocytes. The nurse should monitor for which of the ff signs and symptoms in the client?
Correct Answer: C
Rationale: Thrombocytes, also known as platelets, play a crucial role in blood clotting. Medications that depress thrombocytes can lead to decreased clotting ability and an increased risk of bleeding. Therefore, monitoring for signs and symptoms of bleeding is essential. Bleeding gums and dark tarry stools are indicative of bleeding in the oral cavity and gastrointestinal tract, respectively, and are key indicators to watch for in a client taking medications that depress thrombocytes. Options A, B, and D are not directly related to the impact of thrombocyte depression on clotting function.