ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
One of the side effects of INH administration is peripheral neuropathy. To prevent this effect, Nurse Carlos teaches Andrew to:
Correct Answer: C
Rationale: Pyridoxine, also known as vitamin B6, is necessary for the prevention of INH-induced peripheral neuropathy. INH can lead to a deficiency of vitamin B6 in the body, which in turn can cause nerve damage and peripheral neuropathy. By supplementing the diet with pyridoxine, the risk of developing peripheral neuropathy as a side effect of INH administration can be minimized. It is an important preventive measure recommended for those undergoing treatment with INH to ensure the proper functioning of the nervous system and prevent nerve damage.
Question 2 of 5
A 16 y.o. girl is diagnosed with genital herpes. She is tearful and as she asks what she can do to prevent complications of the disease. Based on the data provided, which nursing diagnosis is appropriate for her plan of care?
Correct Answer: A
Rationale: Given that the 16-year-old girl has been diagnosed with genital herpes and is concerned about preventing complications of the disease, the most appropriate nursing diagnosis would be "Risk for transmission of infection." Genital herpes is a highly contagious sexually transmitted infection, and individuals with the infection can transmit it to their partners through sexual contact. Therefore, it is crucial to educate the girl on ways to prevent the transmission of the infection to others. By addressing this nursing diagnosis, the healthcare team can provide guidance on safer sexual practices, including the use of condoms, abstinence during outbreaks, and communication with partners to prevent the spread of the infection. This nursing diagnosis focuses on promoting the girl's health and preventing further complications related to the transmission of genital herpes.
Question 3 of 5
A client agreed to become an organ donor is pronounced dead. What is the most important factor in selecting a transplant recipient?
Correct Answer: B
Rationale: The most important factor in selecting a transplant recipient for an organ that has been donated by a deceased donor is ensuring compatibility in terms of blood and tissue types. Matching these factors between the donor and recipient minimizes the risk of rejection and increases the likelihood of a successful transplant. Compatibility ensures that the recipient's body is less likely to identify the transplanted organ as foreign and mount an immune response against it. Blood relationship, sex, and size are important factors to consider but they are secondary to compatibility in terms of blood and tissue types when it comes to organ transplantation. Ultimately, the goal is to have the best chance of a successful transplant by ensuring a good match between the donor organ and the recipient.
Question 4 of 5
The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:
Correct Answer: A
Rationale: Organizing a care conference ensures all aspects of the patient's care are addressed and coordinated effectively.
Question 5 of 5
Wilma, His sister and a nurse is suctioning the tracheostomy tube of James. Which of the following, if made by Wilma indicates that she is committing an error?
Correct Answer: A
Rationale: Suctioning a tracheostomy tube is a procedure that requires proper technique to prevent complications. Hyperventilating James with 100% oxygen before and after suctioning indicates that Wilma is committing an error. The correct approach is to provide pre-oxygenation with 100% oxygen for at least two minutes before suctioning to prevent hypoxemia. However, hyperventilation with 100% oxygen can lead to oxygen toxicity, which can be harmful to the patient. The other options, instilling normal saline to loosen secretions, applying suction during catheter withdrawal, and suctioning the client every hour are appropriate techniques when performing tracheostomy tube suctioning.