ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Which of these signs suggests that a client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?
Correct Answer: C
Rationale: In the context of syndrome of inappropriate antidiuretic hormone (SIADH), complications such as hyponatremia and fluid overload can lead to increased volume in the venous system, including the neck veins. Neck vein distention is a sign associated with fluid overload and can be indicative of worsening complications in a client with SIADH. Tetanic contractions are not typical manifestations of complications in SIADH. Weight loss and polyuria are not commonly associated with SIADH due to the increased water retention caused by the syndrome.
Question 2 of 5
Mr. Kawasaki, a 23-year old industrial worker, was burned severely in an industrial accident. He has second degree burns on his right leg and arm, and on his left leg. He has third degree burns on his left arm. The triage nurse, using the rule of nines, estimates the extent of burn as:
Correct Answer: C
Rationale: The rule of nines is a method used to quickly estimate the extent of burns on a patient's body. According to the rule of nines, each area of the body is assigned a percentage that represents its proportional size compared to the total body surface area. In adults, the body is divided into areas of 9% or multiples of 9%.
Question 3 of 5
A client asks nurse Carlos the rationale for giving multi-drug treatment for tuberculosis. Which is an appropriate response?
Correct Answer: D
Rationale: Giving multiple drugs for the treatment of tuberculosis is essential because it helps reduce the development of resistant strains of the bacteria. Tuberculosis is caused by Mycobacterium tuberculosis, which has the potential to develop resistance to single drug therapy through genetic mutations. The use of multiple drugs in combination therapy prevents the bacteria from developing resistance since they work through different mechanisms of action, making it harder for the bacteria to adapt and survive. This approach is known as Directly Observed Treatment, Short-course (DOTS), and it is an effective strategy recommended by the World Health Organization to combat the rising issue of drug-resistant tuberculosis.
Question 4 of 5
A patient who is suspected of having hypothyroidism should be expected which of these symptoms?
Correct Answer: D
Rationale: Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone, leading to a slowing down of the body's metabolic processes. One of the hallmark symptoms of hypothyroidism is extreme fatigue or tiredness. This can be due to the overall decrease in metabolic rate affecting energy levels and causing a feeling of exhaustion. Other common symptoms of hypothyroidism include weight gain, cold intolerance, constipation, dry skin, and depression. Tachycardia (fast heart rate), hyperthermia (elevated body temperature), and weight loss are not typically associated with hypothyroidism, but rather with conditions such as hyperthyroidism where there is an excess of thyroid hormone production.
Question 5 of 5
A 40 year-old female nurse had a fecal impaction and was admitted to the hospital. The physician orders an oil retention enema followed by a cleansing enema. What is the rationale for administering the oiul enema first?
Correct Answer: B
Rationale: The rationale for administering the oil retention enema first in this case is to help soften the fecal mass and lubricate the walls of the rectum and colon. This will make it easier for the impacted stool to be passed, reducing the risk of injury or discomfort during the procedure. The oil enema acts as a lubricant, making it easier for the hardened fecal mass to be expelled from the body without causing damage to the intestinal walls. Additionally, the oil enema helps to soften the fecal mass, further aiding in its removal.