ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
When caring for the child with Kawasaki disease, the nurse should know which information?
Correct Answer: D
Rationale: Kawasaki disease is an acute febrile illness that primarily affects children. The therapeutic management of Kawasaki disease includes the administration of gamma globulin and aspirin. Intravenous immunoglobulin (IVIG) or gamma globulin is given as a single dose to reduce the risk of coronary artery abnormalities, while aspirin is used for its anti-inflammatory effects. It is important to note that aspirin should not be given to children with viral infections due to the risk of Reye syndrome. Therefore, option D is the correct choice in this case.
Question 2 of 5
A 36 y.o. woman who has had no prenatal care comes into the hospital in active labor for her fourth child. She has vesicles evident on her perineum. The following nursing actions are appropriate to protect the unborn baby and the staff, EXCEPT:
Correct Answer: D
Rationale: When a woman with vesicles on her perineum comes into the hospital in active labor, it is important to take precautions to protect the unborn baby and the staff. However, applying antibiotic ointment to the vesicles and placing the mother in reverse isolation is not appropriate in this situation. This is because her condition is most likely due to herpes simplex virus (HSV) infection, which can be transmitted to the baby during birth leading to severe complications. Placing the mother in reverse isolation can increase the risk of transmission to the healthcare staff as well. Instead, notifying the obstetrician and nurse midwife about the vesicles as soon as possible is crucial for proper management and preparing for the possibility that the baby may be delivered by cesarean section is important to reduce the risk of transmission during vaginal birth. Maintaining standard precautions is essential to prevent the spread of infection.
Question 3 of 5
Management of the foregoing patient should include:
Correct Answer: C
Rationale: The patient's symptoms of muscle weakness and fatigue are likely due to hypermagnesemia, which is an excess of magnesium in the blood. Hence, the management should include discontinuing any oral magnesium salts that the patient may be taking. This will help in correcting the magnesium imbalance and improving the patient's symptoms. Regular diet modifications and potassium-sparing diuretics are not indicated for the treatment of hypermagnesemia and may not address the underlying cause in this case.
Question 4 of 5
The nurse, in assessing the adequacy of a client's fluid replacement during the first 2 to 3 days following full- thickness burns to the trunk and right thigh, would be aware that the most significant data would be obtained from recording
Correct Answer: C
Rationale: Monitoring urinary output every hour is crucial in assessing the adequacy of fluid replacement in a client with full-thickness burns. Burn injuries can result in a significant loss of fluid and electrolytes due to increased capillary permeability and excessive fluid shift from the intravascular space to the interstitial space. Adequate fluid replacement is essential to maintain tissue perfusion, prevent hypovolemia, and support organ function. By closely monitoring the urinary output every hour, the nurse can assess renal perfusion, fluid balance, and the effectiveness of fluid resuscitation. A decrease in urinary output can indicate inadequate fluid replacement, while an increase may suggest fluid overload. This information is important in guiding adjustments to the fluid replacement therapy to ensure optimal outcomes for the client. Weights, blood pressure measurements, and assessment of peripheral edema are also important data to monitor in a burn client, but urinary output is the most significant indicator of fluid balance in
Question 5 of 5
Which of the ff points should a nurse include in the teaching plan for clients who have potential for hypovolemia?
Correct Answer: A
Rationale: Clients at risk for hypovolemia, which is a condition characterized by low blood volume, should be advised to avoid alcohol and caffeine. Alcohol and caffeine are known to have diuretic effects, which can further deplete the body's fluid volume and worsen the condition. By avoiding alcohol and caffeine, clients can help maintain adequate fluid levels in the body and reduce the risk of exacerbating hypovolemia. Additionally, it is important for clients at risk for hypovolemia to stay hydrated by consuming adequate amounts of water or other hydrating fluids.