ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Nurses Notes (0700 hrs): Client presents to the ED with guardian. Client reports that they began having pain around their “belly button†the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Notified provider of client's arrival and assessment data. Prescriptions received. Vital Signs (0700 hrs): Temperature: 37.7°C (99.9°F), Pulse rate: 98/min, Respiratory rate: 22/min, Blood pressure: 124/64 mm Hg, Oxygen saturation: 99% on room air. Diagnostic Results (0700 hrs): CBC and C-Reactive Protein drawn and sent to lab. Nurses Notes (0800 hrs): Client continues to report right lower quadrant pain, now rated as 7 on a 0 to 10 pain scale. Reports increased nausea and has vomited once. Abdomen remains soft with increased tenderness in the right lower quadrant. Bowel sounds remain positive in all four quadrants. Client appears more uncomfortable and is guarding the right lower quadrant. Notified provider of client's status and updated assessment data. Vital Signs (0800 hrs): Temperature: 38.1°C (100.6°F), Pulse rate: 102/min, Respiratory rate: 24/min, Blood pressure: 126/68 mm Hg, Oxygen saturation: 98% on room air. Diagnostic Results (0800 hrs): WBC count: 22,000/mm³, RBC count: 4.5 million/mm³, Hgb: 14 g/dL, Hct: 44%, Platelets: 350,000/mm³, C-Reactive Protein: 11.8 mg/dL.
Question 1 of 5
The nurse has notified the provider of the client's 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: B,D,E,F
Rationale: The correct answer is B, D, E, and F.
B: Obtaining informed consent for surgery is essential after notifying the provider of assessment data and lab results, as it indicates the provider may have ordered a surgical procedure based on the information provided.
D: Initiating IV antibiotics may be necessary based on the assessment data and lab results to treat a possible infection or prevent complications.
E: Maintaining NPO status may be required before surgery or certain procedures to prevent aspiration and ensure the client's safety.
F: Obtaining an abdominal ultrasound may be indicated based on the assessment data and lab results to further assess the client's condition.
Incorrect choices:
A: Giving promethazine is not indicated based solely on assessment data and lab results.
C: Administering acetaminophen is not a priority based on the information provided.
G: Administering enemas until clear is not indicated without further assessment or provider orders.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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