the nurse is monitoring a patient receiving a heparin infusion for the treatment of pulmonary embolism which assessment finding most likely related to
Logo

Nursing Elites

ATI RN

ATI Pediatric Proctored Exam 2023

1. The patient is receiving a heparin infusion for the treatment of pulmonary embolism. Which assessment finding is most likely related to an adverse effect of heparin?

Correct answer: C

Rationale: The primary and most serious adverse effect of heparin is bleeding. However, discolored urine can indicate bleeding into the urinary tract, which is a potential adverse effect of heparin therapy. While changes in heart rate (HR) and blood pressure (BP) can occur due to various reasons, discolored urine specifically points towards a potential adverse effect related to heparin therapy.

2. A parent of a child with celiac disease is receiving teaching from a nurse. Which of the following statements should the nurse make?

Correct answer: B

Rationale: The correct answer is B. Celiac disease requires a strict gluten-free diet to manage the condition effectively. Gluten-containing foods like wheat, barley, and rye must be avoided to prevent intestinal damage and symptoms in individuals with celiac disease. Therefore, the nurse should emphasize the importance of a gluten-free diet to the parent of the child with celiac disease.

3. Which of the following statements best describes the benefit of using an occupation-centered practice model?

Correct answer: A

Rationale: An occupation-centered practice model focuses on the unique value of engaging in meaningful and purposeful activities, known as occupations. By addressing the significance of occupation in an individual's life, this model emphasizes the importance of activities that hold personal meaning and relevance. Understanding and incorporating the value of occupation can lead to more client-centered and holistic interventions that promote health and well-being. Choice B is incorrect as the model emphasizes the value of occupations, not just intervention protocols. Choice C is incorrect as the model is centered around the value of occupations, not just specific intervention activities. Choice D is incorrect as the model is not primarily focused on addressing children's limitations in skills, but rather on the significance of engaging in meaningful activities.

4. The nurse is planning care for a school-age client who is postoperative for the surgical removal of the appendix. In addition to pharmacologic pain management, what should the nurse include in the plan of care to address pain?

Correct answer: D

Rationale: After an appendectomy, applying a pillow against the abdomen to splint the incision site when coughing helps reduce pain by providing support and minimizing movement that could cause discomfort.

5. A toddler is admitted to the surgical unit for a planned closure of a temporary colostomy. Which medical prescription should the nurse question?

Correct answer: C

Rationale: The correct answer is C. Rectal temperatures should be avoided in a toddler with a colostomy due to the risk of injury. Choices A, B, and D are appropriate medical prescriptions for a toddler undergoing colostomy closure. Choice A ensures the toddler's intake of clear liquids before being made NPO, choice B prepares for possible blood transfusion needs, and choice D initiates intravenous hydration with D5NS at an appropriate rate.

Similar Questions

When teaching a parent of a toddler with a new prescription for liquid ferrous sulfate, which of the following instructions should the nurse include?
Which statement regarding the human papillomavirus vaccine (Gardasil) is true?
A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?
A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to administer?
A healthcare provider is assessing the pain level of a three-year-old toddler. Which of the following pain assessment scales should the healthcare provider use?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses