ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse will monitor J.E. for the following signs and symptoms:
Correct Answer: A
Rationale: The signs and symptoms mentioned in option A are indicative of potential complications that may occur in a patient being monitored by a nurse.
Question 2 of 5
A patient asks the nurse what her diagnosis of heart failure means. Which of the ff. is the nurse's best response?
Correct Answer: D
Rationale: The nurse's best response is D, "Your heart is not an efficient pump." Heart failure is a condition where the heart is unable to pump blood efficiently, leading to a decrease in the heart's ability to supply the body with oxygen and nutrients. This can result in symptoms such as shortness of breath, fatigue, and fluid retention. It is important for the patient to understand that heart failure does not mean the heart stops or has an area of dead muscle, but rather it is a condition where the heart is not able to function properly as a pump.
Question 3 of 5
For the first 72 hours thyroidectomy surgery, the nurse would assess the client for Chvostek's sign and Trousseau's sign because they indicate which of the following?
Correct Answer: A
Rationale: Chvostek's sign and Trousseau's sign are both clinical manifestations of hypocalcemia, which is a common complication following thyroidectomy surgery.
Question 4 of 5
Which laboratory study is monitored for the patient receiving heparin therapy?
Correct Answer: B
Rationale: The laboratory study monitored for a patient receiving heparin therapy is the Partial Thromboplastin Time (PTT). Heparin is an anticoagulant medication that works by inhibiting clot formation. PTT measures the intrinsic pathway of the coagulation cascade, which is affected by heparin administration. Monitoring the PTT helps ensure that the patient's blood is at the appropriate level of anticoagulation and reduces the risk of bleeding or clot formation.
Question 5 of 5
A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. The ff. nursing interventions might be recommended to help prevent aspiration during eating except:
Correct Answer: A
Rationale: Providing clear liquids only until the patient can swallow solid foods is not recommended as it restricts the patient's diet unnecessarily. In the case of difficulty swallowing after a stroke, it is important to modify the food consistency and provide appropriate techniques to support safe swallowing. Limiting the patient to clear liquids only could lead to inadequate nutrition and hydration. Instead, it is important to modify the diet consistency and use strategies such as altering the food presentation, having the patient swallow twice after each bite, placing food on the unaffected side of the mouth, and checking for pocketing of food to help prevent aspiration.