Which of the ff. nursing interventions would have the highest priority in the plan of care for the postoperative eye patient?

Questions 125

ATI RN

ATI RN Test Bank

Pediatric CCRN Practice Questions Questions

Question 1 of 5

Which of the ff. nursing interventions would have the highest priority in the plan of care for the postoperative eye patient?

Correct Answer: C

Rationale: In the postoperative period for an eye patient, sudden onset of acute pain can be indicative of a complication or an issue that needs immediate attention. Promptly reporting and addressing the pain is essential to prevent any further complications, such as infection, corneal abrasion, or increased intraocular pressure. This intervention takes priority over the other options listed as it involves the patient's immediate safety and well-being. It is crucial to follow postoperative protocols and report any unexpected or severe symptoms to ensure appropriate treatment and prevent any potential harm to the patient's eyesight.

Question 2 of 5

A 13-year-old is worried because his breasts are growing and are tender. What should the nurse tell him?

Correct Answer: C

Rationale: Gynecomastia and breast tenderness occur in about one-third of boys during mid-puberty and usually resolve within 2 years.

Question 3 of 5

Which of the following communication methods is not an option for a patient following laryngectomy surgery?

Correct Answer: B

Rationale: Following laryngectomy surgery, the larynx (voice box) is removed, making it impossible for the patient to produce sound for speech. The options listed are alternative communication methods for patients post-surgery, except for using a picture board. Placing a finger over the stoma can help redirect air for speech, using a special valve can help divert air for speech as well, and learning esophageal speech involves speaking by swallowing air into the esophagus and then releasing it to create sound. Picture boards are not a common method of communication for patients following laryngectomy surgery.

Question 4 of 5

Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14?

Correct Answer: C

Rationale: According to the Centers for Disease Control and Prevention (CDC), motor vehicle–related fatalities are the leading cause of death from unintentional injuries for females aged 1 to 14. This is a significant risk factor for young girls in this age group, highlighting the importance of road safety measures and injury prevention strategies. Factors such as proper car seat usage, seat belt use, and safe driving practices are crucial in reducing the number of motor vehicle-related fatalities among young females aged 1 to 14.

Question 5 of 5

A 61-year old female patient with diabetes is in the emergency department after stepping on a sharp onject while walking barefoot on the beach. The patient did not notice that the object pierced the skin unitl later that evening. What problem does she probably have?

Correct Answer: A

Rationale: The patient's presentation of stepping on a sharp object and not noticing the injury until later is suggestive of peripheral neuropathy, a common complication of long-standing diabetes. Peripheral neuropathy can decrease sensation in the feet, making the patient more susceptible to injuries. In diabetes, high blood sugar levels can damage the nerves throughout the body, particularly those in the extremities. This can result in decreased sensation and poor wound healing, putting the patient at risk for injuries like stepping on a sharp object without feeling it. Therefore, the likely problem the patient has is neuropathy affecting her peripheral nerves.

Access More Questions!

ATI RN Basic


$89/ 30 days

 

ATI RN Premium


$150/ 90 days

 

Similar Questions