ATI RN
Burns Pediatric Primary Care Test Bank Questions
Question 1 of 5
Which of the ff. problems during the immediate postoperative course ff. lumbar microdiskectomy should be reported to the physician immediately?
Correct Answer: B
Rationale: Inability to move the affected leg after a lumbar microdiskectomy could indicate a serious complication such as nerve damage or postoperative hematoma putting pressure on the nerves. This is a critical issue that should be reported to the physician immediately for proper evaluation and management to prevent further complications or permanent damage. The other options, such as incisional pain, bleeding on the dressing, or muscle spasm, are common postoperative issues that may not require immediate medical attention unless they are severe or persistent.
Question 2 of 5
A male client, age 45, undergoes a lumbar puncture in which CSF was extracted for a particular neurologic diagnostic procedure. After the procedure, he complains of dizziness and a slight headache. Which of the ff steps must the nurse take to provide comfort to the client? Choose all that apply
Correct Answer: B
Rationale: - **Encourage a liberal fluid intake (B):** It is essential to maintain hydration after a lumbar puncture to help prevent or alleviate a headache, which may occur due to a decrease in cerebrospinal fluid (CSF) pressure. Adequate hydration can help reduce the chances of a post-lumbar puncture headache.
Question 3 of 5
Which of the ff is the characteristic of a ketogenic diet that is suggested for children with seizures?
Correct Answer: B
Rationale: The characteristic of a ketogenic diet that is suggested for children with seizures is a high-fat diet. Ketogenic diet is a specialized high-fat, low-carbohydrate diet that helps to control seizures in some children with epilepsy, especially those who do not respond well to medication. The high fat content in the diet leads to the production of ketones, which are believed to reduce seizure activity in the brain. Therefore, a high-fat diet is a key aspect of the ketogenic diet for managing seizures in children.
Question 4 of 5
Barbiturate anticonvulsants are effective in treating all of these seizure types, except:
Correct Answer: D
Rationale: Barbiturate anticonvulsants are effective in treating partial seizures, tonic-clonic seizures, and febrile seizures. However, they are not considered first-line treatment for absence seizures. Absence seizures typically respond better to other anticonvulsant medications such as ethosuximide or valproic acid. Barbiturates have a sedative effect and can cause drowsiness or cognitive impairment, which may not be ideal for managing absence seizures where maintaining alertness and cognitive function is important.
Question 5 of 5
Which of the ff. subjective data questions would assist the nurse in assessing the patient's eye health?
Correct Answer: D
Rationale: This question specifically pertains to visual disturbances and can provide valuable information about the patient's eye health. Seeing halos around lights can indicate increased intraocular pressure, which could be a sign of conditions such as glaucoma. Therefore, this subjective data question would assist the nurse in assessing the patient's eye health. On the other hand, choices A, B, and C are not directly related to eye health and would not provide relevant information in assessing the patient's eyes.