ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse is aware that the following laboratory values support a diagnosis of pyelonephritis?
Correct Answer: C
Rationale: Pyelonephritis is a bacterial infection of the kidney. One of the key indicators of pyelonephritis is the presence of pyuria, which refers to white blood cells in the urine. White blood cells in the urine suggest inflammation and infection in the urinary tract, particularly in the kidneys. Therefore, the presence of pyuria supports a diagnosis of pyelonephritis. Myoglobinuria (choice A) is the presence of myoglobin in the urine and is associated with muscle breakdown, not specifically with pyelonephritis. Ketonuria (choice B) refers to the presence of ketones in the urine and may be seen in conditions such as diabetic ketoacidosis. A low white blood cell count (choice D) is not typically associated with pyelonephritis, as an infection would generally result in an elevated white blood cell count in response to the infection.
Question 2 of 5
Mr. and Mrs. Robertson's son was diagnosed with idiopathic thrombocytopenic purpura. They should be aware that the drug to be avoided is:
Correct Answer: B
Rationale: Idiopathic thrombocytopenic purpura is a condition characterized by a low platelet count. Aspirin is a known blood thinner and can further decrease platelet function, potentially worsening thrombocytopenia. Therefore, Mr. and Mrs. Robertson's son should avoid taking aspirin to prevent any exacerbation of his condition.
Question 3 of 5
Mr. and Mrs. Baker's only daughter is diagnosed with heart failure. Which of the following interventions would be appropriate to promote optimal nutrition for the infant?
Correct Answer: A
Rationale: Replacing regular nipples with easy-to-suck ones would be appropriate to promote optimal nutrition for the infant with heart failure. Infants with heart failure may have difficulty feeding due to fatigue and respiratory distress. Using easy-to-suck nipples can help the infant conserve energy during feeding and promote adequate intake. This intervention aims to make feeding easier for the infant and improve overall nutrition status.
Question 4 of 5
Cystic fibrosis most often affects multiple systems of the body. The primary factor responsible for possible multiple clinical manifestations is which of the following?
Correct Answer: D
Rationale: Cystic fibrosis (CF) is an inherited genetic disorder caused by mutations in the CFTR gene, leading to the production of thick, sticky mucus. This increased viscosity affects various organs and systems in the body, causing multiple clinical manifestations. The abnormal secretions block the airways in the lungs, leading to recurrent lung infections, breathing difficulties, and ultimately respiratory failure. In the digestive system, the thick mucus blocks the pancreatic ducts, impairing the release of digestive enzymes, which can result in malabsorption and malnutrition. Additionally, the thick secretions can affect the liver, leading to complications like liver disease. Therefore, the primary factor responsible for the multiple clinical manifestations in cystic fibrosis is the increased viscosity of the mucous gland secretions, which impacts various systems in the body.
Question 5 of 5
The mother of a child with a congenital cardiac defect asks the nurse why her child squats after exertion. The nurse should reply that this position:
Correct Answer: B
Rationale: The position of squatting after exertion increases cardiac efficiency in children with congenital cardiac defects, specifically those with Tetralogy of Fallot. By squatting, the child decreases systemic vascular resistance and increases systemic venous return, which helps to enhance cardiac output by improving blood flow to the lungs. This position allows for better oxygenation of the blood and helps alleviate cyanosis in children with Tetralogy of Fallot.