ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
You are discussing the risk of radiotherapy with the parents of a child with medulloblastoma; the mother has a concern about the late neurological complications post radiotherapy. The statement that should be included in the discussion that late neurological sequelae post radiotherapy is more severe with
Correct Answer: B
Rationale: Younger children (<3 years) are more susceptible to long-term neurotoxic effects of radiotherapy.
Question 2 of 5
. During the first 24 hours after a client is diagnosed with Addisonian crisis, which of the following should the nurse perform frequently?
Correct Answer: D
Rationale: During the first 24 hours after a client is diagnosed with Addisonian crisis, it is crucial for the nurse to frequently assess the client's vital signs. Addisonian crisis is a life-threatening condition resulting from acute adrenal insufficiency. Monitoring vital signs such as blood pressure, heart rate, respiratory rate, and temperature can provide valuable information about the client's condition and response to treatment. Changes in vital signs may indicate worsening or improvement in the client's health status, helping the nurse to make timely interventions and adjustments in the client's care plan. Regular assessment of vital signs is essential in managing the client's stability and preventing complications during this critical period.
Question 3 of 5
A 3-year-old with croup has the following vital signs: HR 90, RR 44, BP 100/52, T 98.8°F. The parents ask if these are normal. The nurse's best response is:
Correct Answer: C
Rationale: The elevated respiratory rate is concerning since normal for a 3- to 6-year-old is about 20-30 breaths per minute.
Question 4 of 5
The nurse understands that an anaphylactic reaction is considered which of the following types of hypersensitivity reactions?
Correct Answer: A
Rationale: An anaphylactic reaction is considered a Type I hypersensitivity reaction. In Type I hypersensitivity, the immune system produces IgE antibodies in response to an allergen, leading to the release of various inflammatory mediators like histamine. This immediate systemic reaction can cause symptoms such as hives, itching, swelling, difficulty breathing, and in severe cases, anaphylactic shock. These reactions occur quickly, typically within minutes to hours after exposure to the allergen. Anaphylaxis is a medical emergency that warrants immediate intervention with epinephrine and supportive care.
Question 5 of 5
Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:
Correct Answer: C
Rationale: Nursing considerations with Tretinoin (Retin-A) should include explaining that the medication should not be applied until at least 20 to 30 minutes after washing. This wait time allows the skin to fully dry and reduces the risk of irritation. Applying the medication too soon after washing can increase the likelihood of skin irritation, dryness, and peeling. It is essential to follow this guideline to ensure the effectiveness of the treatment and minimize adverse effects on the skin.