ATI RN
Nursing Care of Children ATI
1. What is a common significant side effect of opioid administration?
- A. Euphoria
- B. Diuresis
- C. Constipation
- D. Allergic reactions
Correct answer: C
Rationale: Constipation is one of the most common side effects of opioid administration due to the slowing down of gastrointestinal motility. Opioids affect the bowel movements, leading to constipation. Euphoria, while a possible effect, is less common than constipation. Diuresis is not a typical side effect of opioids; instead, urinary retention may occur. Allergic reactions are rare side effects of opioids, with symptoms such as rash, itching, or anaphylaxis.
2. What symptoms should a patient taking Omeprazole report to the healthcare provider?
- A. Black, tarry stools
- B. Diarrhea
- C. Abdominal pain
- D. All of the above
Correct answer: D
Rationale: Patients taking Omeprazole should report black, tarry stools, diarrhea, or abdominal pain to the healthcare provider because these symptoms could indicate serious side effects associated with the medication. Black, tarry stools may suggest gastrointestinal bleeding, diarrhea can be a sign of a gastrointestinal infection or adverse drug reaction, and abdominal pain may indicate underlying issues that need attention. Choosing 'All of the above' is the correct answer as all these symptoms are important to report for proper evaluation and management.
3. A client diagnosed with paranoid schizophrenia states, 'The FBI is watching me. I see their agents everywhere.' Which is the nurse's most appropriate response?
- A. You shouldn't worry about that. It's not real.
- B. I don't see any FBI agents, but it sounds like you're feeling frightened.
- C. Let's talk about something else to take your mind off of it.
- D. Why do you think the FBI is watching you?
Correct answer: B
Rationale: Validating the client's feelings without reinforcing the delusion is important. This response acknowledges the client's fear without agreeing with the delusion. It shows empathy and understanding towards the client's emotions while not validating the delusional belief.
4. What is the primary goal of patient education?
- A. To enhance clinical skills
- B. To ensure patient safety
- C. To empower patients to take control of their health
- D. To improve patient compliance
Correct answer: C
Rationale: The correct answer is C: 'To empower patients to take control of their health.' Patient education aims to provide individuals with the knowledge and skills necessary to actively participate in managing their health conditions. Choice A, 'To enhance clinical skills,' is incorrect as patient education focuses on empowering patients, not enhancing healthcare providers' skills. Choice B, 'To ensure patient safety,' is incorrect because while patient safety is crucial, the primary goal of patient education is to empower patients. Choice D, 'To improve patient compliance,' is also incorrect as the main aim is to empower patients to make informed decisions and take an active role in their healthcare.
5. A client who has chronic lymphocytic leukemia is starting chemotherapy treatments and asks if she needs to make any dietary changes. Which of the following statements should the nurse make?
- A. “You should avoid drinking liquids an hour before the treatments.”
- B. “Eating low-calorie foods helps prevent nausea.”
- C. “Foods that are higher in fat are usually more appealing.”
- D. “Raw fruits and vegetables will be easier for your body to digest.”
Correct answer: “Raw fruits and vegetables will be easier for your body to digest.”
Rationale: During chemotherapy treatments for chronic lymphocytic leukemia, raw fruits and vegetables are recommended as they are easier for the body to digest. This choice provides essential nutrients and is gentle on the digestive system. Option A is incorrect because staying hydrated is crucial during chemotherapy. Option B is incorrect as low-calorie foods may not provide sufficient energy during treatment. Option C is incorrect because high-fat foods are not typically recommended due to potential digestive issues.