ATI RN Pediatric Nursing 2023 I | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Tachypnea. In heart failure, the heart cannot pump effectively, causing fluid to build up in the lungs, leading to respiratory distress and tachypnea (rapid breathing). Tremors and increased appetite are not typically associated with heart failure. Bradycardia (slow heart rate) is not a common clinical manifestation of heart failure; instead, it can be a sign of worsening condition.

Correct Answer: D

Rationale: The correct answer is D: Thirst. Hyperglycemia in diabetes causes increased blood glucose levels, leading to osmotic diuresis and dehydration, triggering the sensation of thirst. Sweating (
A), tremors (
B), and pallor (
C) are not typical manifestations of hyperglycemia. Sweating and tremors are more commonly associated with hypoglycemia, while pallor may indicate anemia or other conditions unrelated to hyperglycemia.

Correct Answer: C

Rationale: The correct answer is C: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. This is correct because hemodialysis involves the use of a machine that filters the blood through an artificial membrane to remove waste products and excess fluids. This process occurs outside the body and is commonly used for patients with kidney failure.


Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane.
Choice B is incorrect because hemodialysis does not involve the use of an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis is not a continuous filtration process, but rather a periodic treatment.

Correct Answer: A

Rationale:
Correct
Answer: A. Provide for periods of rest.


Rationale: Children with heart failure have reduced cardiac output, leading to fatigue. Providing periods of rest helps conserve energy and prevent exhaustion, improving the child's overall well-being and supporting cardiac function.

Summary of Incorrect

Choices:
B: Increasing oxygen flow rate based on cyanosis can lead to oxygen toxicity and is not a recommended approach for managing heart failure.
C: Digoxin is a crucial medication for heart failure management. Withholding it based solely on heart rate without consulting a healthcare provider can be dangerous.
D: Weighing the child once a month is not frequent enough for monitoring fluid status in heart failure, where daily weights are recommended.

Correct Answer: D

Rationale: The correct answer is D because asking how the client prefers to learn new information is important when educating adolescents. This approach promotes autonomy and engagement in their own healthcare. By understanding the client's preferred learning style, the nurse can tailor the teaching to be more effective and ensure better understanding and adherence to medication instructions.


Choice A is incorrect because the nurse should be the primary source of information for the adolescent regarding their medication, not the pharmacy.
Choice B is inappropriate as adolescents have the right to privacy and should be involved in their own healthcare decisions.
Choice C is not ideal as it undermines the adolescent's autonomy and may not be effective in promoting learning.