ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Which of the following hormones retains sodium in the body?
Correct Answer: B
Rationale: Aldosterone is a hormone produced by the adrenal glands that plays a crucial role in regulating the balance of sodium and potassium in the body. One of its primary functions is to retain sodium in the body, leading to increased reabsorption of sodium in the kidneys. This retention of sodium helps to maintain blood pressure and fluid balance. In contrast, other hormones like antidiuretic hormone (ADH) primarily regulate water reabsorption, while thyroid hormone and insulin do not have a direct role in retaining sodium in the body.
Question 2 of 5
What does a nurse assess postoperatively in a client with a nasal fracture?
Correct Answer: C
Rationale: Postoperatively in a client with a nasal fracture, a nurse would assess for airway obstruction. Nasal fractures can cause swelling, bleeding, and obstruction of the nasal passages, which could potentially compromise the client's ability to breathe. Monitoring for signs of airway compromise, such as difficulty breathing, stridor, or other respiratory distress, is crucial in the postoperative period to ensure prompt intervention if necessary. Assessing for airway patency is a priority to prevent any serious complications related to impaired breathing. While allergic reaction, extreme sense of smell, or stridor may occur in some cases, airway obstruction is the most critical concern that requires immediate attention to maintain the client's respiratory function.
Question 3 of 5
Which of the ff interventions is implemented for a client with empyema?
Correct Answer: D
Rationale: Empyema is a serious infection that requires aggressive treatment with antibiotics. The client must complete the entire course of drug therapy as prescribed by the healthcare provider to ensure that the infection is completely eradicated. Failure to complete the full course of antibiotics can lead to antibiotic resistance and recurrence of the infection. It is crucial to emphasize to the client the importance of adhering to the prescribed treatment regimen to achieve a full recovery and prevent complications.
Question 4 of 5
A patient has end-stage dilated cardiomyopathy. He comes to the emergency department with dyspnea. He says he went to bed and awoke with a feeling of suffocation. He says it was frightening. Which of the ff. responses by the nurse is most appropriate?
Correct Answer: C
Rationale: The most appropriate response by the nurse is option C, "Reclining increases fluid returning to the heart, which builds up fluid in the lungs." In a patient with end-stage dilated cardiomyopathy, reclining position can lead to increased fluid return to the heart due to the failing pump function. This can result in fluid backing up in the lungs, causing symptoms such as dyspnea or feeling of suffocation. By explaining this mechanism to the patient, the nurse can provide valuable information about the condition and the reason for the distressing symptoms experienced by the patient. It also highlights the importance of proper positioning to alleviate symptoms and improve the patient's comfort.
Question 5 of 5
A mother brings her children into the clinic and they are diagnosed with chickenpox. The mother had chickenpox as a child and is not concerned with contracting the disease when caring for her children. what type of immunity does this mother have?
Correct Answer: A
Rationale: The mother in this scenario had chickenpox as a child, which means she was exposed to the virus and developed immunity through her own immune response. This type of immunity acquired as a result of natural exposure to an infectious agent is called active natural immunity. In this case, the mother's immune system "learned" how to recognize and fight off the chickenpox virus when she was previously infected, leading to the development of memory cells that provide long-lasting protection against future infections.