ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10. Client is tearful and grimacing during the examination. Laboratory Results: Hct 28% (32% to 44%), Hgb 6 g/dL (10 to 15.5 g/dL), WBC count 20,000/mm3 (6,200 to 17,000/mm3), ALT 50 units/L (4 to 36 units/L), AST 62 units/L (10 to 40 units/L), Total bilirubin 3.0 mg/dL (0.3 to 1.0 mg/dL).
Question 1 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,C,D,E,G
Rationale: The correct interventions for an adolescent include monitoring oxygen saturation (
A) for respiratory status, giving oral hydroxyurea (
C) for sickle cell disease treatment, administering meperidine IV for pain management (
D), ensuring the pneumococcal vaccine is current (E) for infection prevention, and administering folic acid as prescribed (G) for nutritional support. Monitoring oxygen saturation is crucial for detecting respiratory distress. Hydroxyurea helps reduce sickle cell complications. Meperidine IV is effective for moderate to severe pain. Pneumococcal vaccine prevents infection. Folic acid is essential for managing sickle cell disease. Restricting oral intake (
B) and strict bed rest (F) are not recommended unless specifically indicated, which is not the case here.
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Question 2 of 5
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Question 5 of 5
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