ATI RN
Pediatric Research Questions Questions
Question 1 of 5
the best prophylactic treatment to prevent further rheumatic fever attack:
Correct Answer: C
Rationale: The best prophylactic treatment to prevent further rheumatic fever attacks is penicillin. Penicillin is recommended for long-term secondary prophylaxis to prevent the recurrence of acute rheumatic fever and reduce the risk of rheumatic heart disease. It helps to eradicate streptococcal infections, which are the underlying cause of rheumatic fever. Prednisone, aspirin, and paracetamol are not used for primary or secondary prevention of rheumatic fever.
Question 2 of 5
A 25-year old with hepatitis may be anicteric and symptomless. In the early part of the hepatic inflammatory disorder, the most likely symptom/sign is:
Correct Answer: D
Rationale: In the early part of the hepatic inflammatory disorder, the most likely symptom/sign is anorexia. Anorexia refers to a decreased appetite or lack of interest in food, which is commonly seen in patients with liver diseases such as hepatitis. Anorexia in the setting of liver inflammation indicates a disruption in the normal metabolic processes of the liver. This symptom is often accompanied by general malaise, fatigue, and weight loss. Dark urine (choice A) may occur later in the disease progression due to the buildup of bilirubin in the blood. Occult blood in stools (choice B) may be a sign of gastrointestinal bleeding, which can be a complication of advanced liver disease but is not typically an early symptom. Ascites (choice C) is the accumulation of fluid in the peritoneal cavity and is usually a late sign of liver dysfunction.
Question 3 of 5
The nurse is interviewing the mother of an infant. She reports, "I had a difficult delivery, and my baby was born preterm." This information should be recorded under which of the following headings?
Correct Answer: A
Rationale: The information given by the mother about having a difficult delivery and her baby being born preterm is considered part of the past medical history. Past medical history includes previous medical conditions, surgeries, hospitalizations, and significant events related to the patient's health before the current encounter. This information helps healthcare providers understand the patient's background and any potential risks or complications relevant to their current health condition.
Question 4 of 5
Why is heart biopsy performed throughout a clients lifetime after heart transplantation?
Correct Answer: A
Rationale: Heart biopsy is performed throughout a client's lifetime after heart transplantation mainly to detect rejection. Rejection is a common complication following a heart transplant where the recipient's immune system recognizes the transplanted heart as foreign tissue and attacks it. By conducting heart biopsies, healthcare providers can monitor the health of the transplanted heart and detect signs of rejection early on. This allows for prompt intervention and adjustment of the client's immunosuppressive therapy to prevent further damage to the transplanted heart. Monitoring for rejection through heart biopsies is crucial in ensuring the long-term success of heart transplants and the overall well-being of the recipient.
Question 5 of 5
A client with vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?
Correct Answer: A
Rationale: The usual treatment for vaginal cancer typically involves surgery. The specific type of surgery can vary depending on the stage and type of cancer, but it often includes removal of the tumor or affected tissue. In some cases, surgery may be combined with other treatments such as radiation or chemotherapy to enhance the effectiveness of the treatment. Surgery is considered a primary treatment option for many cases of vaginal cancer, particularly in early stages where the goal is to remove the cancerous cells and prevent further spread.