ATI RN
Burns Pediatric Primary Care 7th Edition Test Bank Questions
Question 1 of 5
Which of the following procedures does the nurse understand is used to correct otosclerosis?
Correct Answer: D
Rationale: Otosclerosis is a condition characterized by abnormal bone growth in the middle ear, particularly around the stapes bone. A stapedectomy is a surgical procedure performed to correct otosclerosis by removing the stapes bone and replacing it with a prosthesis. This surgery aims to improve hearing by restoring the movement of the ossicles in the middle ear. Myringotomy is a procedure involving an incision in the eardrum to drain fluid, mastoidectomy involves the removal of infected mastoid air cells, and myringoplasty is the surgical repair of a perforated eardrum, none of which address the specific issue of otosclerosis.
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
A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder
Correct Answer: A
Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.
Question 4 of 5
Which of the following terms indicates that the patient has a hearing loss caused by aging?
Correct Answer: B
Rationale: Presbycusis is the term that indicates that the patient has a hearing loss caused by aging. It is a type of sensorineural hearing loss that occurs gradually as a result of aging and affects the ability to hear high-pitched sounds. Otoplasty is a surgical procedure to correct the shape or position of the ears. Otalgia refers to ear pain. Tinnitus is the perception of ringing or buzzing sounds in the ears.
Question 5 of 5
An adult is diagnosed with disseminated intravascular coagulation. The nurse should identify that the client is at risk for which of the following nursing diagnosis?
Correct Answer: C
Rationale: Disseminated intravascular coagulation (DIC) is a serious condition that involves widespread activation of coagulation leading to microthrombi formation in blood vessels throughout the body. This process can lead to consumption of clotting factors and platelets, causing both bleeding and thrombosis. In the context of DIC, there is a risk for altered tissue perfusion due to the combination of bleeding and microthrombi formation, which can impair blood flow to vital organs and tissues. This condition can ultimately result in organ dysfunction and failure, making it a significant concern in the care of a client with DIC. Therefore, the correct nursing diagnosis for a client with DIC is alteration in tissue perfusion related to bleeding and diminished blood flow.