ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care?
Correct Answer: C
Rationale: Providing for frequent rest periods is the most appropriate intervention for a client newly diagnosed with radiation-induced thrombocytopenia. Thrombocytopenia is characterized by a decreased number of platelets, which are essential for blood clotting. Clients with thrombocytopenia are at an increased risk for bleeding and bruising. Therefore, it is important to prevent activities that may lead to injury or bleeding. Providing frequent rest periods allows the client to conserve energy and minimize the risk of trauma that could lead to bleeding complications. This intervention helps manage the symptoms associated with thrombocytopenia and promotes the client's safety and well-being.
Question 2 of 5
The spouse of a client with gastric cancer expresses concern that the couple's children may develop this type of cancer when they're older. When reviewing risk factors for gastric cancer with the client and family, the nurse explains that a certain blood type increases the risk by 10%. The nurse is referring to:
Correct Answer: A
Rationale: Among the different blood types, individuals with blood type A have been found to have a slightly higher risk of developing gastric cancer. Research has shown that individuals with blood type A are associated with a 10% increased risk of gastric cancer compared to other blood types. This information is important to consider when discussing potential risk factors for gastric cancer with clients and their families.
Question 3 of 5
A client has possible malignancy of the colon, and surgery is scheduled. The rationale for administering Neomycin preoperatively is to:
Correct Answer: C
Rationale: The rationale for administering Neomycin preoperatively in the case of possible malignancy of the colon is to decrease and retard the growth of normal bacteria in the intestines. This is important because surgical procedures involving the colon carry a risk of infection due to the abundant normal bacterial flora present in the intestines. By administering Neomycin prior to surgery, the goal is to reduce the number of bacteria in the colon and minimize the risk of postoperative infections. It is not used to prevent infection or treat cancer directly, nor is it meant to eliminate the need for preoperative enemas.
Question 4 of 5
Which of the ff suggestions should a nurse give breastfeeding mothers to prevent or eliminate mastitis and breast abscess? Choose all that apply
Correct Answer: D
Rationale: Keeping hands and breasts clean is crucial in preventing infections like mastitis and breast abscess. Proper hygiene practices can help reduce the risk of introducing harmful bacteria to the breast during breastfeeding. It is essential for breastfeeding mothers to wash their hands before each feeding session and ensure that the breast is clean before nursing.
Question 5 of 5
If a patient has elevated pulmonary vascular pressures, the nurse understands that the patient is most likely to develop which of the ff. physiological cardiac changes?
Correct Answer: D
Rationale: Elevated pulmonary vascular pressures can lead to pulmonary hypertension, which causes increased pressure in the right side of the heart. The right ventricle has to work harder to pump blood against the increased resistance in the pulmonary circulation. Over time, this can result in the development of right ventricular hypertrophy as the muscle of the right ventricle thickens in response to the increased workload. This is a compensatory mechanism to try to maintain cardiac output despite the increased pressure in the pulmonary circulation. Left atrial atrophy, left ventricular hypertrophy, and right atrial atrophy are not typically associated with elevated pulmonary vascular pressures.