in educating the parents of a child who has been diagnosed with hypothyroidism the nurse mentions that the child should avoid goitrogens which of the in educating the parents of a child who has been diagnosed with hypothyroidism the nurse mentions that the child should avoid goitrogens which of the
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ATI LPN

Pediatric ATI Proctored Test

1. When educating the parents of a child diagnosed with hypothyroidism, the nurse mentions that the child should avoid goitrogens. Which of the following will the nurse mention as an example?

Correct answer: C

Rationale: Cabbage is an example of a goitrogen. Goitrogens are substances that interfere with the normal function of the thyroid gland by inhibiting iodine uptake. Cabbage, along with other cruciferous vegetables like broccoli and cauliflower, contain compounds that can have this effect and should be consumed in moderation by individuals with hypothyroidism to prevent worsening of their condition.

2. As a new B.S.N. graduate aspiring to become a Public Health Nurse, where should you consider applying?

Correct answer: D

Rationale: As a new B.S.N. graduate aspiring to become a Public Health Nurse, the ideal place to apply would be the Rural Health Unit. This is because R.A. 7160 decentralized basic health services to local government units (LGUs), making public health nurses employees of the LGUs. Rural Health Units are typically operated by LGUs and focus on providing primary healthcare services to rural communities, making them a suitable starting point for someone interested in public health nursing.

3. A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider?

Correct answer: B

Rationale: The nurse should clarify prescription B, Acetaminophen 650 mg PO BID, with the provider. When a patient is NPO and receiving enteral feedings through an NG tube, medications administered orally may be contraindicated due to the risk of aspiration. Therefore, Acetaminophen should be confirmed for safety in this situation. The other options (Metoprolol ER 50 mg via NG tube BID, Lisinopril 10 mg PO daily, Ondansetron 4 mg IV push PRN) are appropriate and do not need clarification in this scenario.

4. After providing home care instructions to the mother of a child being discharged following cardiac surgery, which statement made by the mother indicates a need for further instructions?

Correct answer: B

Rationale: The correct answer is B. The mother stating that she can apply lotion or powder to the incision if it is itchy indicates a need for further instructions. Applying lotion or powder to the incision is not recommended as it can increase the risk of infection. The other choices are correct: A) Balancing rest and exercise is important for recovery, C) avoiding activities where falling could occur is necessary to prevent injury, and D) avoiding large crowds helps reduce the risk of infections during the initial recovery period.

5. Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?

Correct answer: C

Rationale: Hippocrates is credited with creating the first medical textbook, where he documented contemporary health care practices and separated them from the mythical belief that Apollo was responsible for health. Hippocrates' work laid the foundation for evidence-based medicine and emphasized the importance of observation and clinical experience in healthcare practices. Choice A, Hammurabi, is known for his code of laws rather than medical advancements. Florence Nightingale is recognized for her contributions to nursing and healthcare reform, not for creating a written record of health care practices. Apollo, a Greek god associated with healing, is part of the mythical aspect of health care that Hippocrates aimed to dispel.

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