ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
The nurse is observing a client receiving antiplatelet therapy for adverse reactions. Antiplatelet drugs most commonly produce which hypersensitivity reaction?
Correct Answer: C
Rationale: Antiplatelet drugs most commonly produce bronchospasm as a hypersensitivity reaction. This adverse reaction occurs due to the release of bronchoconstrictive mediators, leading to narrowing of the airways and potentially causing respiratory distress. It is important for nurses to closely monitor clients receiving antiplatelet therapy for signs of bronchospasm, such as wheezing, shortness of breath, and chest tightness, and to intervene promptly to prevent further complications. Difficulty hearing, confusion, and agranulocytosis are not typically associated with antiplatelet therapy.
Question 2 of 5
The cause of death of most AIDS patients who develop multiple opportunistic infections is/are the following: a.Weakened immune system impairs response to therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A child is to receive a blood transfusion, if an allergic reaction to the blood occurs, the nurse's first intervention should be:
Correct Answer: C
Rationale: In the scenario of a child experiencing an allergic reaction during a blood transfusion, the nurse's first intervention should always be to stop the blood immediately. This is crucial to prevent further complications and adverse reactions in the child. Pausing the transfusion allows for assessment of the allergic reaction's severity, immediate treatment initiation, and alerting the healthcare team for further management. Relieving symptoms with antihistamines or slowing the flow rate would not address the primary concern of stopping the allergen from entering the child's system. Therefore, stopping the blood immediately is the most appropriate and urgent action to take in this situation.
Question 4 of 5
A patient has iron deficiency anemia. Which of the following foods will best help provide dietary iron?
Correct Answer: C
Rationale: Lean red meats are a great source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. Heme iron from animal products is particularly beneficial for individuals with iron deficiency anemia as it can help increase their iron levels more effectively. In addition to lean red meats, other animal sources of heme iron include poultry and fish.
Question 5 of 5
Severe and extensive hemolysis causes which of the ff?
Correct Answer: B
Rationale: Severe and extensive hemolysis can lead to the destruction of a large number of red blood cells, causing a significant release of hemoglobin into the bloodstream. This excessive release of hemoglobin can overwhelm the body's ability to clear it, leading to the accumulation of toxic byproducts such as free hemoglobin and heme. These byproducts can lead to various complications, one of which is the potential for causing shock. Shock is a life-threatening condition characterized by inadequate tissue perfusion and oxygen delivery to vital organs due to a systemic vascular response to the circulating toxins and byproducts of hemolysis. It is a severe consequence of extensive hemolysis and requires immediate medical intervention to stabilize the patient.