ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
What are the nursing interventions for a client with thalassemia?
Correct Answer: A
Rationale: Thalassemia is a genetic blood disorder that results in the reduced production of hemoglobin and red blood cells. Nursing interventions for a client with thalassemia aim to manage symptoms and prevent complications. Maintaining the client on bed rest helps conserve energy and prevent fatigue, which is commonly experienced due to anemia. Protecting the client from infections is crucial because individuals with thalassemia are at a higher risk of infections due to their weakened immune system. By minimizing the risk of infections, nurses can help prevent further complications in clients with thalassemia.
Question 2 of 5
for pain management. When applying a new system, the nurse should:
Correct Answer: B
Rationale: When applying a new system for pain management, it is recommended to choose a site on the lower torso. This area is often a suitable location for applying transdermal pain medication patches because it tends to have fewer hair follicles, making it easier for the patch to adhere properly and be absorbed effectively. The lower torso also typically provides a discreet location for patch placement, helping to maintain patient privacy and comfort.
Question 3 of 5
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client?
Correct Answer: A
Rationale: Anticipatory grieving is an appropriate nursing diagnosis for a client diagnosed with gallbladder cancer due to the nature of the diagnosis and the symptoms experienced. Gallbladder cancer carries a poor prognosis and can have a significant impact on the client's emotional well-being. The client may experience feelings of sadness, fear, and loss related to the cancer diagnosis and its implications on their health and future. The presence of symptoms such as yellow skin, weight loss, fatigue, and epigastric pain can further contribute to the client's distress and feelings of grief. As the client navigates the challenges associated with the cancer diagnosis and treatment, providing emotional support and assistance in coping with their feelings of anticipatory grief is essential for holistic care.
Question 4 of 5
A client is admitted to an acute care facility with esophageal cancer. The incidence of esophageal cancer is highest in:
Correct Answer: A
Rationale: The incidence of esophageal cancer is highest in black males. Studies have shown that black males have a higher risk of developing esophageal cancer compared to other demographic groups. Various factors contribute to this increased risk, including genetic predisposition, lifestyle habits (such as smoking and alcohol consumption), and potential disparities in access to healthcare and early detection. It is important for healthcare providers to be aware of these disparities in order to provide appropriate care and support for individuals at higher risk for esophageal cancer.
Question 5 of 5
A client seeks care for hopeless that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question.
Correct Answer: E
Rationale: The most appropriate question to elicit information about feelings of hopelessness lasting for 1 month would be related to mental health and emotional well-being. Therefore, asking about smoking habits, diet, voice strain, or spicy food consumption are not directly relevant to the client's presenting concern. Instead, asking about the individual's feelings, thoughts, and experiences related to the ongoing feelings of hopelessness would provide essential information for understanding and addressing the client's mental health needs.