ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Which of the ff nursing actions is helpful for older clients who are experiencing lens changes associated with aging?
Correct Answer: D
Rationale: As people age, changes in the lens of the eye can lead to difficulty focusing on close objects, a condition known as presbyopia. Suggesting the use of glasses or contact lenses can help older clients compensate for these age-related lens changes and improve their visual acuity for tasks such as reading or other close-up activities. Glasses or contact lenses prescribed by an eye care professional can provide the appropriate magnification needed to address the visual changes associated with aging, promoting comfort and maintaining independence for older clients.
Question 2 of 5
Which instruction about insulin administration should the nurse give to a client?
Correct Answer: A
Rationale: The correct instruction the nurse should give to the client is to "Always follow the same order when drawing the different insulin into the syringe." This is important because mixing different insulins in the same syringe can alter their action profiles and lead to inaccurate dosing. It is crucial to follow a consistent order to prevent mixing the insulins inadvertently. It is advisable to consult a healthcare provider or pharmacist for specific instructions on insulin administration to ensure safety and effectiveness.
Question 3 of 5
A client with diabetes mellitus must learn how to self-administer insulin. The physician has prescribed 10 U of U- 100 regular insulin and 35 U of 100-U isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instruction?
Correct Answer: B
Rationale: The nurse should instruct the client to rotate injection sites within the same anatomic region, not among different regions. Proper rotation of injection sites helps prevent lipodystrophy (changes in fat tissue) and ensures consistent absorption of insulin. By rotating sites within the same region, the client can minimize the risk of developing localized skin complications. Additionally, rotating sites helps to ensure that the insulin is absorbed consistently, leading to more predictable blood glucose control. It is important to avoid injecting into areas of scar tissue, hypotrophy, large blood vessels, or nerves, as these can affect the absorption of insulin and may lead to inconsistent blood glucose levels.
Question 4 of 5
Minda, a 65-year old female has been admitted with a left hemisphere stroke. Which behavioral change would the nurse expect to find upon assessment?
Correct Answer: D
Rationale: A left hemisphere stroke typically affects the right side of the body due to the way the brain controls motor functions. Since the left hemisphere is also responsible for language and speech processing, patients with a left hemisphere stroke commonly exhibit errors in word choices, difficulty speaking or understanding language, aphasia, and other language-related impairments. This is known as Broca's aphasia or expressive aphasia. Therefore, the nurse would expect to find errors in word choices as a behavioral change in a patient like Minda with a left hemisphere stroke.
Question 5 of 5
Aling Iska, a 78-year old client consults with a hemoglobin and hematocrit levels of 11mg/dl and 32 % respectively. These finding indicates:
Correct Answer: B
Rationale: Aling Iska's hemoglobin level of 11mg/dl and hematocrit level of 32% are both below the normal range for her age group. These low levels indicate anemia, which is a condition characterized by a decrease in the number of red blood cells or hemoglobin in the blood. Anemia can be caused by various factors, such as nutritional deficiencies (iron, vitamin B12, folate), chronic diseases, or bone marrow problems. In this case, given Aling Iska's advanced age of 78 years, it is essential for the nurse to conduct a thorough nutritional assessment to determine if her anemia is related to any deficiencies that can be addressed through dietary changes or supplementation. It is important to identify the underlying cause of anemia to provide appropriate interventions and prevent further complications.