ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
In assessing a post mastectomy client, the nurse determines that the client is in denial. The nurse can best respond by:
Correct Answer: C
Rationale: Confronting the denial is the best response in this situation. Denial is a common defense mechanism that individuals may use when faced with overwhelming emotions or situations, such as in the case of a post-mastectomy client. By confronting the denial in a supportive and empathetic manner, the nurse can help the client acknowledge and accept their feelings, which is an important step in the healing and coping process. Ignoring or supporting the denial may hinder the client's ability to address their emotions and work through them effectively. Confronting the denial allows for open communication and helps the client move towards acceptance and adjustment.
Question 2 of 5
A client suspected of having colorectal cancer will require which diagnostic study to confirm the diagnosis?
Correct Answer: D
Rationale: Sigmoidoscopy is a diagnostic study that allows direct visualization of the lower part of the colon and rectum using a flexible tube with a camera at its end, called a sigmoidoscope. This procedure enables the healthcare provider to visually inspect the lining of the colon and rectum, identify any abnormal growths, such as tumors or polyps, and obtain tissue samples for biopsy if necessary. In the case of suspected colorectal cancer, sigmoidoscopy is crucial for confirming the diagnosis by directly visualizing any cancerous lesions or abnormal tissue changes in the colon and rectum. Other diagnostic tests, such as stool hematest, abdominal CT, and CEA scan, may aid in the evaluation and staging of colorectal cancer but are not as effective in confirming the diagnosis as sigmoidoscopy. Thus, sigmoidoscopy is the preferred diagnostic study for definitively diagnosing colorectal cancer in a client suspected of having the disease.
Question 3 of 5
A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo- oopherectomy with tumor secretion, omentectomy, appendectomy, and lymphadenopathy. During the second postoperative day, which of the following assessment findings would raise concern in the nurse?
Correct Answer: D
Rationale: Shallow breathing and increasing lethargy are concerning assessment findings postoperatively as they can be indicative of respiratory complications such as atelectasis, pneumonia, or pulmonary embolism. These conditions can be life-threatening and require prompt medical attention. It is essential for the nurse to monitor the client closely for any signs of respiratory distress and intervene immediately if these symptoms are present. Abdominal pain, serous drainage from the incision, and hypoactive bowel sounds are common findings after abdominal surgery and are expected in the early postoperative period.
Question 4 of 5
Before a cancer receiving total parenteral nutrition (TPN) resumes a normal diet, the nurse teaches him about dietary sources of minerals. Which foods are good sources of zinc?
Correct Answer: D
Rationale: Zinc is an essential mineral that plays a crucial role in immune function, wound healing, and overall growth and development. Good dietary sources of zinc include whole grains and meats. Whole grains such as wheat and rice contain moderate amounts of zinc, while meats such as beef, pork, and chicken are rich sources of this mineral. Including these foods in the diet can help ensure an adequate intake of zinc, especially for individuals who have increased nutritional needs like cancer patients receiving TPN.
Question 5 of 5
Major treatment modalities for breast cancer are:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.