ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse observes yellow staining in the sclera of eyes, soles of feet, and palms of hands. How should the nurse document these findings?
Correct Answer: C
Rationale: Jaundice is the yellow discoloration of the skin, sclera (white part of the eyes), soles of feet, and palms of hands that occurs due to elevated levels of bilirubin in the blood. Bilirubin is a yellow pigment produced during the breakdown of red blood cells and is normally processed by the liver and excreted in bile. When the liver is unable to process bilirubin effectively, it can accumulate in the blood and cause jaundice. Therefore, the nurse should document these findings as jaundice, which is a sign of liver dysfunction or other underlying health issues that need further assessment and management.
Question 2 of 5
Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
Correct Answer: B
Rationale: Asking questions if families are not participating in the care is a behavior that indicates a therapeutic relationship with children and families. It shows the nurse's concern and interest in understanding the family's perspectives and addressing any barriers to participation.
Question 3 of 5
Which of the ff is the most important factor in the nursing management of a client with CFS?
Correct Answer: D
Rationale: Educating the client about the disease process and its limitations is the most important factor in the nursing management of a client with Chronic Fatigue Syndrome (CFS). Providing information about the disease, its symptoms, potential triggers, and the importance of self-care is crucial in empowering the client to manage their condition effectively. Understanding the limitations imposed by CFS can help the client make necessary adjustments in their lifestyle, activities, and energy management. Education also plays a key role in setting realistic expectations and preventing exacerbation of symptoms by avoiding overexertion or pushing beyond their limits. By understanding the disease process and its impact, the client can actively participate in their care and strive for better quality of life.
Question 4 of 5
The nurse knows which of the following statements about TPN and peripheral parenteral nutrition is true?
Correct Answer: C
Rationale: The statement that is true about TPN and peripheral parenteral nutrition (PPN) is that TPN is often given to those with fluid restrictions, whereas PPN is used for those without constraints on their fluid intake. This is because TPN is a hypertonic solution that can cause fluid overload if given in large volumes, so it's typically reserved for patients who have fluid restrictions. On the other hand, PPN is a less concentrated solution that can be safely administered to patients without fluid restrictions.
Question 5 of 5
Which laboratory test value is elevated in clients who smoke and can't be used as a general indicator of cancer?
Correct Answer: B
Rationale: Alkaline phosphatase level is elevated in clients who smoke due to various reasons unrelated to cancer. Smoking leads to increased alkaline phosphatase production in the liver, and elevated levels can be attributed to liver damage caused by smoking. However, a high alkaline phosphatase level alone cannot be used as a general indicator of cancer because it is not specific to cancer and can be influenced by several other factors. Therefore, it is not a reliable marker for the presence of cancer in individuals who smoke or in the general population.