ATI RN
ATI Nursing Care of Children
1. Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?
- A. Palpate another area simultaneously
- B. Ask the child not to laugh or move
- C. Begin with deeper palpation and gradually progress to superficial palpation
- D. Have the child help with palpation by placing his or her hand over the palpating hand
Correct answer: D
Rationale: Allowing the child to place their hand over the nurse's hand helps reduce the tickling sensation and increases the child's comfort during the examination.
2. To overcome her fear of balloons due to the loud sound they might make when popping, Bella must sit in a room filled with balloons while the therapist pops each one. After a while, Bella realizes that her fear is unjustified and even begins to pop balloons herself. This technique is known as?
- A. Systematic desensitization
- B. Aversion therapy
- C. Flooding
- D. Extinction
Correct answer: C
Rationale: The correct answer is C, Flooding. Flooding is an exposure therapy technique where a person is exposed to their fear at full intensity until the fear subsides. In this scenario, Bella is exposed to her fear of balloons in a controlled environment until she realizes her fear is unjustified. Choice A, Systematic desensitization, involves gradual exposure to the fear stimulus paired with relaxation techniques. Choice B, Aversion therapy, aims to create a negative association with a stimulus to reduce unwanted behavior. Choice D, Extinction, refers to the gradual decrease in the strength or frequency of a conditioned response.
3. What medication class can decrease tissue in inflammation but delays bone healing?
- A. Opioids
- B. Anticoagulants
- C. Narcotics
- D. Nonsteroidal anti-inflammatory drugs (NSAIDS)
Correct answer: Nonsteroidal anti-inflammatory drugs (NSAIDS)
Rationale:
4. A nurse is preparing to administer furosemide to a client. Which of the following findings indicates the client may be at risk for an adverse effect of the medication?
- A. Hypertension
- B. Hypokalemia
- C. Increased urine output
- D. Hyperglycemia
Correct answer: B
Rationale: The correct answer is B: Hypokalemia. Furosemide is a loop diuretic that can cause potassium depletion, leading to hypokalemia, which is a common adverse effect. Hypokalemia can result in serious complications like cardiac arrhythmias. Choices A, C, and D are not directly associated with the adverse effects of furosemide. Hypertension is a condition that furosemide is often used to treat, increased urine output is an expected effect of furosemide, and hyperglycemia is not a typical adverse effect of this medication.
5. A nurse is caring for a patient with myelodysplastic syndrome (MDS) who is receiving erythropoietin therapy. What should the nurse monitor to evaluate the effectiveness of this treatment?
- A. Platelet count
- B. Hemoglobin level
- C. White blood cell count
- D. Oxygen saturation
Correct answer: B
Rationale: Erythropoietin therapy is used to stimulate the production of red blood cells in patients with myelodysplastic syndrome (MDS), a disorder characterized by ineffective blood cell production, including red blood cells. The primary goal of erythropoietin therapy is to increase red blood cell count, improving the patient's oxygen-carrying capacity and reducing symptoms of anemia, such as fatigue and weakness. Monitoring hemoglobin levels is the best way to evaluate the effectiveness of this therapy because it directly reflects the patient's red blood cell count and the success of erythropoiesis (red blood cell production).
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