ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease?
Correct Answer: C
Rationale: Scabies is a contagious skin infestation caused by the itch mite Sarcoptes scabiei. The primary clinical manifestation of scabies is intense itching, known as pruritus. The itching is often worse at night and can be severe, leading to scratching that can cause skin lesions. Edema (choice A) refers to swelling due to fluid retention and is not a primary clinical manifestation of scabies. Redness (choice B) may be present due to inflammation caused by the mites but is not the primary symptom. Maceration (choice D) is softening and breakdown of the skin due to prolonged moisture exposure and is not a typical presentation of scabies.
Question 2 of 5
The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will be. What information does the nurse need to include in the response?
Correct Answer: C
Rationale: The correct information the nurse should provide to the parents is that no treatment is usually necessary for a strawberry hemangioma because of the high rate of spontaneous involution. Strawberry hemangiomas are common vascular tumors in infants that typically appear in the first few weeks of life. They usually grow rapidly for the first several months and then begin to shrink and eventually disappear on their own. In most cases, the hemangioma resolves without the need for any intervention. Therefore, reassuring the parents that observation is the primary management approach is important, unless complications such as ulceration, bleeding, or obstruction occur.
Question 3 of 5
The physician orders local application of epinephrine 1:1000 solution to treat a nosebleed. The patient asks how this will help. Which of the ff. responses by the nurse is best?
Correct Answer: D
Rationale: Epinephrine is a vasoconstrictor, which means it causes blood vessels to narrow. When applied locally to the site of a nosebleed, epinephrine constricts the blood vessels in the nose, slowing down and stopping the bleeding. By constricting the blood vessels, epinephrine helps to reduce the blood flow to the area, allowing a clot to form and stop the bleeding. This is why option D, "It will constrict your vessels and slow down the bleeding," is the best response by the nurse to explain how epinephrine will help treat a nosebleed.
Question 4 of 5
When a child injures the epiphyseal plate from a fracture, the damage may result in which of the following?
Correct Answer: D
Rationale: The epiphyseal plate, also known as the growth plate, is the area of growing tissue near the ends of the long bones in children and adolescents. It is crucial for bone growth and development. When a child injures the epiphyseal plate from a fracture, the damage can disrupt the normal growth process of the bone. This disruption can lead to unequal limb length, angular deformities, or other growth abnormalities. Therefore, the damage resulting from an injury to the epiphyseal plate may lead to bone growth disruption. Choices A, B, and C are not directly associated with epiphyseal plate injuries.
Question 5 of 5
A client hyperparathyroidism declines surgery and is to receive hormone replacement therapy with estrogen and progesterone. Which of the following instructions would be most important to include in the client's teaching plan?
Correct Answer: A
Rationale: The most important instruction to include in the client's teaching plan would be to maintain a moderate exercise routine (Option A). Regular physical activity is important for overall health, including helping to maintain bone health and strength. This is particularly crucial for individuals with hyperparathyroidism who are declining surgery and opting for hormone replacement therapy, as exercise can help to support bone density and reduce the risk of fractures. However, it is essential to emphasize that the exercise should be moderate and appropriate for the individual's current fitness level, as excessive exercise can have negative effects on bone health in this population.