ATI RN
Nursing Interventions for Pediatric Respiratory Distress Questions
Question 1 of 5
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
Correct Answer: D
Rationale: Educating the patient to use pelvic floor exercises (Kegel exercises) will help strengthen pelvic floor muscles. Carbonated beverages will lead to increased gas and potential gastrointestinal discomfort. During the postpartum period, the patient is at greater risk for dehydration and thus should increase fluids. Limitation of fluids is not warranted during the postpartum period.
Question 2 of 5
A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse's most appropriate response at this time?
Correct Answer: D
Rationale: The correct answer is D because the nurse needs to differentiate between postpartum blues and more serious conditions like postpartum depression. By asking if the patient is able to care for her baby, the nurse is assessing the severity of the symptoms and determining if the patient needs further evaluation or support. This response shows a proactive approach to addressing the patient's concerns and ensuring proper care.
Question 3 of 5
Which nursing measure would be most appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Following a difficult vaginal birth of a singleton pregnancy, the patient starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder because the uterine fundus is soft and displaced laterally from midline. Vital signs are 37.6°C (99.8°F), pulse 90 beats/minute, respirations 20 breaths per minute, and BP 130/90 mm Hg. Which pharmacologic intervention is indicated?
Correct Answer: C
Rationale: The correct answer is C because prostaglandin analogs can be administered intramuscularly to stop uterine bleeding in this scenario. Oxytocin may be considered, but it is not administered in a piggyback solution. Methylergonovine is contraindicated in the presence of hypertension, which the patient has. Increasing parenteral fluids will not directly address the uterine bleeding issue.
Question 5 of 5
To evaluate the desired response of methylergonovine (Methergine), the nurse would assess the patient's
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.