ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Which of the following patients should the nurse monitors because of increased risk for surgical complications?
Correct Answer: B
Rationale: The patient who is 5'3" in height and weighs 180 lbs is considered obese based on their body mass index (BMI). Obesity is a significant risk factor for surgical complications such as wound infections, blood clots, and respiratory issues. In obese patients, surgical procedures can be more challenging due to difficulties in accessing and visualizing surgical sites, longer surgery times, and increased stress on the body's organs. Therefore, this patient should be closely monitored for potential surgical complications.
Question 2 of 5
To reduce symptoms of early morning stiffness in a ptient who has rheumatoid arthritis, the nurse can encourage the patient to:
Correct Answer: A
Rationale: Taking a hot tub bath or shower in the morning can help reduce symptoms of early morning stiffness in a patient with rheumatoid arthritis. The warmth from the water helps relax muscles and joints, making it easier for the patient to move and start their day. Heat therapy is a common recommendation for managing joint stiffness in arthritis patients. This simple and effective method can improve flexibility and decrease pain associated with morning stiffness.
Question 3 of 5
Mrs. Tan is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). Which of the following is the priority goal for her immediately after the procedure?
Correct Answer: B
Rationale: Maintaining blood pressure control is the priority goal for Mrs. Tan immediately after percutaneous transluminal coronary angioplasty (PTCA). PTCA is a procedure used to open narrowed or blocked arteries in the heart. After the procedure, there is a risk of abrupt changes in blood pressure due to various factors, such as contrast dye used during the procedure, stress on the heart, and potential complications. Maintaining stable blood pressure is crucial to ensure adequate perfusion to the heart and other organs. Monitoring and controlling blood pressure help prevent further complications and promote a smooth recovery process for the patient. It is important to address this priority goal to optimize Mrs. Tan's post-procedure outcomes.
Question 4 of 5
A community nurse will perform chest physiotherapy for Mrs. Dy every 3 hours. It is important for the nurse to:
Correct Answer: C
Rationale: Performing chest physiotherapy (CPT) at least two hours after meals is important to prevent potential risks such as vomiting and aspiration. This timing allows for better tolerance of the procedure and decreases the likelihood of complications. By waiting at least two hours after meals, the nurse ensures that the patient's stomach is not full, reducing the risk of regurgitation during the chest physiotherapy session. This practice promotes the safety and well-being of the patient while undergoing this treatment.
Question 5 of 5
Which of the following is the most common cause of hyperaldosteronism?
Correct Answer: D
Rationale: The most common cause of hyperaldosteronism is an adrenal adenoma, which is a benign tumor of the adrenal gland. Adrenal adenomas produce excessive amounts of aldosterone, a hormone that regulates sodium and potassium balance in the body. This overproduction of aldosterone can lead to increased sodium retention and potassium excretion, resulting in hypertension and low potassium levels in the blood. Excessive sodium intake and deficient potassium intake are not common causes of hyperaldosteronism. Pituitary adenomas are associated with conditions such as Cushing's syndrome or acromegaly, but not hyperaldosteronism.