ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
Which is the central factor responsible for respiratory distress syndrome?
Correct Answer: A
Rationale: Respiratory distress syndrome is primarily caused by deficient surfactant production in premature infants. Surfactant is a substance that coats the alveoli in the lungs and helps to reduce surface tension, preventing the collapse of the alveoli during exhalation. In premature infants, the lungs may not have produced enough surfactant, leading to difficulty in breathing and inadequate oxygen exchange. This results in respiratory distress syndrome, which is characterized by severe breathing problems in newborns. Overproduction of surfactant, overdeveloped alveoli, or absence of alveoli are not central factors in the development of respiratory distress syndrome.
Question 2 of 5
The nurse is teaching the family about caring for their 7-year-old, who has been diagnosed with type I DM. What information should the nurse provide about type I DM?
Correct Answer: D
Rationale: Type I DM, also known as insulin-dependent diabetes mellitus, is characterized mainly by insulin deficiency. In this type of diabetes, the pancreas produces little to no insulin, which is essential for regulating blood glucose levels. Therefore, individuals with type I DM require lifelong insulin therapy to manage their condition. Unlike type II DM, which is associated with insulin resistance, type I DM is not preventable through lifestyle modifications like diet and exercise alone. It is crucial for the nurse to educate the family about the importance of insulin therapy, monitoring blood glucose levels, carbohydrate counting, and responding to hypoglycemic episodes in caring for their 7-year-old with type I DM.
Question 3 of 5
A 19-year-old student develops symptoms of respiratory alkalosis related to an anxiety attack. Which nursing intervention is appropriate?
Correct Answer: B
Rationale: The appropriate nursing intervention for a 19-year-old student experiencing symptoms of respiratory alkalosis related to an anxiety attack is to have him breathe into a paper bag. Breathing into a paper bag can help increase the level of carbon dioxide in the body, which can help correct respiratory alkalosis. This technique helps to rebalance the level of carbon dioxide in the blood and alleviate the symptoms of alkalosis caused by hyperventilation during the anxiety attack. It is important to monitor the student's condition and ensure that he is using the paper bag correctly to avoid any potential risks associated with this intervention. Additionally, providing reassurance and support during this episode can also be beneficial in helping the student to manage his anxiety and respiratory alkalosis.
Question 4 of 5
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
Correct Answer: C
Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.
Question 5 of 5
The nurse should include in the patient's teaching plan that if the patient does not take the vitamin B12, which one of the following will develop?
Correct Answer: C
Rationale: Pernicious anemia is a condition caused by a deficiency in vitamin B12 absorption due to the lack of intrinsic factor, a protein necessary for B12 absorption in the gastrointestinal tract. If a patient does not take vitamin B12, they can develop pernicious anemia. This condition leads to the inability to produce enough healthy red blood cells, resulting in anemia. Symptoms of pernicious anemia include fatigue, weakness, shortness of breath, and pale or yellowish skin. It is important for patients to take vitamin B12 supplements or receive injections if they are unable to absorb the vitamin properly in order to prevent or treat pernicious anemia.