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
The nurse is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?
Correct Answer: A
Rationale: In acute Addisonian crisis, the adrenal glands do not produce enough cortisol and aldosterone, leading to a decrease in blood volume and blood pressure. This can cause hyperkalemia (high potassium levels) due to the lack of aldosterone, which normally helps regulate potassium excretion from the body. Additionally, clients in Addisonian crisis may experience hyponatremia (low sodium levels) rather than hypernatremia. Reduced blood urea nitrogen (BUN) and hyperglycemia would not be typical findings in acute Addisonian crisis.
Question 3 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 4 of 5
20-year old Mr. Ang fell off from his horse, and sustained a lft hip fracture. Buck's extension traction is applied. The following statements are true about Buck's extension traction except:
Correct Answer: D
Rationale: Buck's extension traction is typically used as a temporary measure in adults to control muscle spasm and pain while awaiting definitive treatment, such as surgery. It is applied by an orthopedic surgeon under aseptic conditions using wires and pins, through which the pulling force is transmitted to the musculoskeletal structures of the patient. However, Buck's extension traction is not used definitively to treat fractures in children; other treatment modalities are often preferred for pediatric fractures.
Question 5 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.