ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
In the presence of coma or unconsciousness, the major therapeutic measure includes:
Correct Answer: A
Rationale: In the presence of coma or unconsciousness, maintaining a clear airway is the major therapeutic measure to ensure adequate breathing and oxygenation. A clear airway is vital for the patient's survival and should be the priority to prevent respiratory distress or failure. Providing good nursing care is important for overall patient well-being, but ensuring a clear airway is crucial for immediate life support. Retention of a catheter is not a major therapeutic measure in the context of coma or unconsciousness unless specifically indicated for monitoring or treatment of underlying conditions. Therefore, the most critical intervention in this scenario is the maintenance of a clear airway.
Question 2 of 5
Which of the following is usually the first symptom of a cataract that the nurse would expect a patient to report during assessment?
Correct Answer: B
Rationale: Blurring of vision is typically the first symptom of a cataract that the nurse would expect a patient to report during assessment. As a cataract develops, it causes clouding of the eye's lens, leading to a decrease in the clarity of vision. This blurriness can progress over time, impacting the patient's ability to see clearly. Other symptoms such as glare sensitivity, poor night vision, double vision, and color fading may also be present as the cataract progresses. Dry eyes, eye pain, and loss of peripheral vision are not typically the initial symptoms associated with cataracts.
Question 3 of 5
A client with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty six-hours later, the client's urine output suddenly rises above 200mL/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?
Correct Answer: B
Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to adequately concentrate urine, leading to excessive dilute urine production. In diabetes insipidus, both urine and serum osmolality levels are typically below normal due to the dilution of urine. When urine output suddenly rises above 200mL/hour in a client with severe head trauma, it may indicate diabetes insipidus, especially if the urine and serum osmolality levels are below normal. This abnormality in osmolality levels is due to the impaired ability of the kidneys to concentrate urine, resulting in decreased urine osmolality and subsequent dilution of the serum osmolality.
Question 4 of 5
The lowest fasting plasma glucose level suggestive of a diagnosis of diabetes is:
Correct Answer: B
Rationale: A fasting plasma glucose level of 126mg/dl or higher is considered to be indicative of diabetes mellitus. This value represents the threshold for diagnosing diabetes based on fasting glucose levels according to the American Diabetes Association (ADA) criteria. Fasting glucose levels between 100-125mg/dl indicate impaired fasting glucose, which is a precursor to diabetes. Therefore, a fasting plasma glucose level of 126mg/dl is the lowest level at which a diagnosis of diabetes can be suggested.
Question 5 of 5
A few hours before the patient was admitted at the hospital, he complained of fever, nausea and vomiting, and vague abdominal pain. The doctor examined the patient as a case of acute appendicitis and prepared for appendectomy. The nurse anticipates that this type of surgery is classified as:
Correct Answer: A
Rationale: Appendectomy as a treatment for acute appendicitis is classified as an emergency surgery. Acute appendicitis is considered a medical emergency that requires prompt surgical intervention to prevent complications such as a ruptured appendix, which can lead to peritonitis, a life-threatening condition. In emergency situations, surgery must be done urgently to address the immediate threat to the patient's health. This is in contrast to elective surgeries, which are typically scheduled in advance and do not require immediate attention. In the case described, the patient's symptoms of fever, nausea, vomiting, and vague abdominal pain suggest an acute presentation that necessitates urgent surgical intervention, making it an emergency appendectomy.