ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
Which of the ff adverse reactions may occur when a client is taking danazol (Danocrine) for fibrocystic breast disease?
Correct Answer: B
Rationale: Danazol (Danocrine) is a synthetic androgen that is used to treat conditions such as fibrocystic breast disease. One of the known adverse effects of danazol is the development of amenorrhea, which refers to the absence of menstrual periods. This occurs because danazol suppresses ovarian function by inhibiting the release of gonadotropins, leading to decreased production of estrogen and progesterone. Amenorrhea associated with danazol use is typically reversible upon discontinuation of the medication. Nausea, confusion, and hypotension are not common adverse reactions associated with danazol use for fibrocystic breast disease.
Question 2 of 5
The patient asks the nurse, "What is hypertension?" Which of the following is the best response to explain hypertension?
Correct Answer: B
Rationale: Hypertension, also known as high blood pressure, is a condition where the force of blood against the walls of the arteries is consistently too high. The definition provided in choice B, "It is higher than normal on two separate occasions," accurately captures the concept of hypertension. A diagnosis of hypertension typically requires blood pressure measurements to be consistently elevated on at least two separate occasions to rule out temporary spikes in blood pressure. This distinction is essential in diagnosing and managing hypertension effectively to prevent complications such as heart disease, stroke, and kidney problems. Choices A, C, and D do not capture the defining characteristic of hypertension as clearly as choice B.
Question 3 of 5
A 90 y.o. nursing home resident with stage 2 Alzheimer's disease is found alone and crying in the dining room. She says she lost her mother and doesn't know what to do. Which response by the nurse will help calm the resident?
Correct Answer: C
Rationale: Option C, "Are you feeling frightened? I'm here and I will help you," is the most appropriate response to help calm the resident. The resident is experiencing confusion and distress, likely due to her Alzheimer's disease. Invalidating her feelings by reminding her of the reality may lead to more confusion and distress. Instead, acknowledging the resident's emotions, offering support, and reassuring her of your presence can help calm her down and provide comfort in the moment. It is important to provide emotional support and reassurance to individuals with Alzheimer's disease, rather than focusing on correcting their statements or reminding them of reality.
Question 4 of 5
The nurse in the postoperative unit prepares to receive a client after a balloon angioplasty of the carotid artery. Which of the ff items of priority should the nurse keep at the bedside for such client?
Correct Answer: A
Rationale: Having a blood pressure apparatus at the bedside is a priority for a client following a balloon angioplasty of the carotid artery. Monitoring blood pressure closely is essential to assess for any signs of complications such as bleeding or thrombosis after the procedure. Rapid identification and management of any changes in blood pressure are crucial in the immediate postoperative period to ensure the client's safety and well-being. It allows the nurse to promptly intervene if there are any signs of complications, helping to prevent further harm to the client.
Question 5 of 5
Which of the ff. nursing actions prepares a patient for a lumbar puncture?
Correct Answer: B
Rationale: Positioning the patient on their side is a critical nursing action that prepares a patient for a lumbar puncture. This position is usually used during the procedure to allow easier access to the lumbar region. Placing the patient on their side helps provide better visualization of the spinal landmarks and facilitates the correct positioning of the needle for the lumbar puncture. This position also helps minimize the risk of complications and ensures the safety and comfort of the patient during the procedure. Administering enemas until clear, removing all metal jewelry, and removing the patient's dentures are not specifically associated with preparing a patient for a lumbar puncture.