ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
15-year-old adolescent admitted for a vaso-occlusive crisis. Parent reports low-grade fever and vomiting for 3 days. Adolescent reports right-sided and low back pain, painful swollen hands and right knee, pain 8/10. 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%. Assessment: Yellow sclera, tender right upper quadrant, swollen painful hands and knee. Labs: Hct 28%, Hgb 6 g/dL, WBC 20,000/mm3, ALT 50 units/L, AST 62 units/L, Total bilirubin 3.0 mg/dL. Chest X-ray: cardiomegaly, systolic flow murmur
Question 1 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: B,D,E,G
Rationale:
Correct Answer: B, D, E, G
Rationale:
- B: Placing the client on strict bed rest helps reduce joint stress in conditions like juvenile idiopathic arthritis.
- D: Ensuring pneumococcal vaccine is current is important for preventing infections in immunocompromised adolescents.
- E: Folic acid helps with red blood cell production in conditions like sickle cell anemia.
- G: Monitoring oxygen saturation is crucial in assessing respiratory status, especially in conditions like asthma.
Incorrect
Choices:
- A: Cold compresses may provide temporary relief but do not address the underlying issues.
- C: Oral hydroxyurea is typically used for sickle cell anemia, not for general adolescent care.
- F: Meperidine IV is not recommended for general pain management in adolescents due to potential side effects and addiction risks.
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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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