ATI RN
Pediatric Cardiovascular Nursing Questions Questions
Question 1 of 5
Which food is most important for the nurse to encourage a male client with osteomalacia to include in his daily diet?
Correct Answer: A
Rationale: In the context of a male client with osteomalacia, which is characterized by softening of the bones due to a deficiency in vitamin D and calcium, the most important food to encourage in his daily diet is fortified milk and cereals (Option A). Fortified milk is an excellent source of calcium and vitamin D, essential nutrients for bone health. Cereals fortified with vitamin D and calcium provide additional support in addressing the deficiency underlying osteomalacia. This combination helps to strengthen bones and prevent further deterioration in the client's condition. Lean red meat and poultry (Option B) are good sources of protein but do not directly address the vitamin D and calcium deficiencies associated with osteomalacia. Fresh fruits and vegetables (Option C) are important for overall health but do not specifically target the nutritional needs of someone with osteomalacia. Whole grains and legumes (Option D) are valuable sources of nutrients but do not provide the necessary focus on calcium and vitamin D crucial for treating osteomalacia. In an educational context, it is important for nurses to understand the specific dietary recommendations for various health conditions. By grasping the rationale behind the correct answer, nurses can effectively educate and support clients in making appropriate dietary choices to manage their health conditions effectively. This question highlights the significance of targeted nutrition interventions in addressing specific health issues like osteomalacia.
Question 2 of 5
The clinic nurse is reviewing strategies for blood glucose monitoring with a client who is newly diagnosed with diabetes mellitus. When helping the client select a blood glucose meter, which client assessments should the nurse complete?
Correct Answer: A
Rationale: In the context of pediatric cardiovascular nursing and pharmacology, the correct answer to the question is option A) Manual dexterity and visual acuity. When selecting a blood glucose meter for a client with diabetes mellitus, it is crucial to assess the client's ability to perform the necessary tasks of using the meter accurately. Manual dexterity is important as the client needs to be able to handle the device, insert test strips, and operate the meter effectively. Visual acuity is also essential for reading the results correctly. Option B) Capillary refill time and radial pulse volume, Option C) Deep tendon reflexes and skin color, and Option D) Skin elasticity and hand grip strength are all unrelated to blood glucose monitoring and the selection of a blood glucose meter for a client with diabetes mellitus. These assessments are more relevant to cardiovascular and neurological assessments rather than glucose monitoring. In an educational context, understanding the rationale behind selecting a blood glucose meter based on the client's manual dexterity and visual acuity is crucial for nurses caring for pediatric patients with diabetes mellitus. This knowledge helps nurses tailor their care to meet the specific needs of the individual patient, ensuring accurate monitoring of blood glucose levels and effective management of the condition. By focusing on the client's abilities and limitations, nurses can empower patients to take an active role in their diabetes care and promote better health outcomes.
Question 3 of 5
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should the nurse monitor?
Correct Answer: C
Rationale: In the case of an adult female client diagnosed with restless leg syndrome and prescribed ferrous sulfate (Feosol) 325 mg PO daily, the nurse should monitor serum iron and ferritin levels. This is because ferrous sulfate is a form of iron supplement, and monitoring iron and ferritin levels will help assess the effectiveness of the treatment and prevent iron deficiency or iron overload complications. Option A, monitoring serum electrolytes, is not a priority in this case because the primary concern is monitoring iron levels due to the prescribed iron supplement. Option B, monitoring neutrophils and eosinophils, is not directly related to the treatment of restless leg syndrome with ferrous sulfate. Option D, monitoring platelet count and hematocrit, is not the most appropriate choice either. While iron deficiency can lead to anemia, monitoring iron and ferritin levels directly assess the iron status, which is crucial when administering an iron supplement like ferrous sulfate. In an educational context, understanding the rationale behind monitoring specific laboratory values in response to prescribed medications is essential for nurses to provide safe and effective care to their patients. This question highlights the importance of connecting pharmacological interventions to monitoring parameters to ensure optimal patient outcomes.
Question 4 of 5
An older female client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. To determine if the client is experiencing any long-term complication of DM, which assessments should the nurse obtain?
Correct Answer: B
Rationale: In this scenario, option B) Sensation in feet and legs is the correct assessment to determine if the client is experiencing long-term complications of diabetes mellitus (DM). This is crucial because diabetic neuropathy is a common long-term complication of diabetes that affects sensation in the extremities. Assessing sensation in the feet and legs helps identify peripheral neuropathy, which can lead to serious complications such as foot ulcers and amputations if not managed appropriately. Option A) Serum creatinine and blood urea nitrogen (BUN) are important assessments to monitor kidney function in diabetes, but they are more related to renal complications rather than neurological complications like peripheral neuropathy. Option C) Skin condition of lower extremities is important for assessing for complications like diabetic ulcers or infections but does not specifically target neurological complications like peripheral neuropathy. Option D) Visual acuity is important for monitoring complications related to the eyes in diabetes (diabetic retinopathy), which is a common long-term complication, but it is not directly related to assessing for peripheral neuropathy. In an educational context, it is essential for nurses caring for diabetic patients, especially those with long-term type 2 diabetes, to be vigilant in assessing for complications early to prevent further deterioration of health. Understanding the specific assessments required for different complications of diabetes aids in providing comprehensive care and improving patient outcomes.
Question 5 of 5
A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client plan of care?
Correct Answer: A
Rationale: In this scenario, the most important intervention for the nurse to include in the client's plan of care is continuous cardiac monitoring (option A). Electrical injuries can cause cardiac arrhythmias and monitoring the client's heart rhythm is crucial to detect any abnormalities early on. Option B, performing passive range of motion, is not the priority in this situation as cardiac monitoring takes precedence due to the potential life-threatening complications of electrical injuries on the heart. Option C, evaluating the level of consciousness, is important but not as critical as continuous cardiac monitoring in this context. Changes in consciousness can be secondary to cardiac issues and would be detected through cardiac monitoring. Option D, assessing lung sounds q4 hours, is also important but not as urgent as continuous cardiac monitoring. While respiratory complications can occur in burn patients, cardiac monitoring is a higher priority in this case. Educationally, this question highlights the importance of recognizing the potential complications of electrical injuries, prioritizing interventions based on the client's condition, and understanding the critical role of continuous cardiac monitoring in such cases.